Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cornelius Henderson, DPT

Individual provider Physical Therapy Assistant · NPI 1245410323

Cornelius Henderson, DPT is a Physical Therapist in Private Practice in Ridgeland, Mississippi. Qualified in 2017, 9 years ago. Practices with Texas Luna Care Physical Therapy LLC, a 267-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi and Texas.

Years since qualifying
9
Licensed in
MS, TX
In the registry since
2007
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

711 Avignon Dr
Ridgeland, MS 39157-5120
Phone: (601) 605-6777
Fax: (601) 605-8869
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1944 Katy Fort Bend Rd Apt 5106, Katy, TX 77493-4797 — (281) 900-9430

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1301027 (TX)
Physical Therapy Assistant Taxonomy 225200000X · Licence PTA3890 (MS)

Record details

NPI number1245410323
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedNovember 6, 2007
Last updated in NPPESMarch 9, 2023
Certification dateMarch 9, 2023
Mailing address1944 Katy Fort Bend Rd Apt 5106, Katy, TX 77493-4797

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Texas Luna Care Physical Therapy Llc — 267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ridgeland