| Roger Henderson, PT | |
|
1954 Rockledge Blvd Ste 119, Rockledge, FL 32955-3761 | |
| (321) 433-1500 | |
| (321) 433-1556 |
| Full Name | Roger Henderson |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 27 Years |
| Location | 1954 Rockledge Blvd Ste 119, Rockledge, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073557070 | NPI | - | NPPES |
| Y043L | Other | FL | BCBS OF FLORIDA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | PT19703 (Florida) | Secondary |
| 225100000X | Physical Therapist | PT19703 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Associates Of Brevard Llc | 4486558012 | 75 |
| Medical Partners Of Florida Llc | 6901236983 | 3 |
| Entity Name | Dr Tanya Schrumpf DC Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841404241 PECOS PAC ID: 1557458601 Enrollment ID: O20071106000468 |
| Entity Name | Medical Associates of Brevard LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861400103 PECOS PAC ID: 4486558012 Enrollment ID: O20090123000389 |
| Entity Name | Alpha Physical Therapy Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Entity Identifiers | NPI Number: 1699910406 PECOS PAC ID: 7214092261 Enrollment ID: O20090209000160 |
| Entity Name | Functionally Fit Fitness Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Entity Identifiers | NPI Number: 1740796895 PECOS PAC ID: 9739435553 Enrollment ID: O20180710002069 |
| Entity Name | Medical Partners of Florida LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821575960 PECOS PAC ID: 6901236983 Enrollment ID: O20200414003304 |
| Entity Name | Fox Rehab PT FL LLC |
|---|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Entity Identifiers | NPI Number: 1336719624 PECOS PAC ID: 7416345921 Enrollment ID: O20211102000699 |
| Entity Name | All Brevard County Therapy Staffing Inc. |
|---|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Entity Identifiers | NPI Number: 1396404927 PECOS PAC ID: 0345632980 Enrollment ID: O20220112000162 |
| Mailing Address | Practice Location Address |
|---|---|
| Roger Henderson, PT 2210 Cheney Hwy, Suite B, Titusville, FL 32780-6702 Ph: (321) 745-7106 | Roger Henderson, PT 1954 Rockledge Blvd Ste 119, Rockledge, FL 32955-3761 Ph: (321) 433-1500 |