| Cheriesse Henry, DPT | |
|
5100 Vista Grande Dr Apt 1115, Antioch, CA 94531-8541 | |
| (702) 236-2163 | |
| Not Available |
| Full Name | Cheriesse Henry |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 5100 Vista Grande Dr Apt 1115, Antioch, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578668240 | NPI | - | NPPES |
| 100505166 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1844 (Nevada) | Primary |
| Provider Name | Arizona Mobile Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1104521616 PECOS PAC ID: 1557726379 Enrollment ID: O20230501002627 |
| Mailing Address | Practice Location Address |
|---|---|
| Cheriesse Henry, DPT 3250 Players Club Pkwy, Memphis, TN 38125-8844 Ph: (901) 685-7227 | Cheriesse Henry, DPT 5100 Vista Grande Dr Apt 1115, Antioch, CA 94531-8541 Ph: (702) 236-2163 |
Mark Benjamin Taylor, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2213 Buchanan Rd, Suite 210, Antioch, CA 94509 Phone: 925-779-2592 Fax: 925-779-2521 | |
Matthew Robert White, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3400 Delta Fair Blvd, Antioch, CA 94509 Phone: 925-779-5442 | |
Thisbe Coleman, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1210 A St, Antioch, CA 94509 Phone: 925-757-8787 | |
Jacob Fredrickson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4501 Sand Creek Rd, Antioch, CA 94531 Phone: 925-813-6500 | |
Jessica Conroy, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4808 Golden Bear Dr, Antioch, CA 94531 Phone: 925-354-2298 | |
Mrs. Jodi Sue Kabat, M.P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 5161 Lone Tree Way, Antioch, CA 94531 Phone: 925-522-8000 Fax: 925-522-8008 | |
Empowerme Physical Therapy, P.c. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3950 Lone Tree Way, Antioch, CA 94509 Phone: 844-502-7996 |