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

Daniel Ralph Henderson, PT

Individual provider Physical Therapist · NPI 1740675677

Daniel Ralph Henderson, PT is a Physical Therapist in Private Practice in Louisville, Mississippi. Qualified in 2005, 21 years ago. Practices with Drayer Physical Therapy Mississippi LLC, a 111-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
21
Licensed in
MS
In the registry since
2015
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

110 N Walmart Dr Ste F
Louisville, MS 39339-5905
Phone: (662) 779-1096
Fax: (662) 779-3949
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT4021 (MS)

Record details

NPI number1740675677
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 28, 2015
Last updated in NPPESJanuary 26, 2017
Mailing address2416 Highway 45 N, Columbus, MS 39705-1320

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Drayer Physical Therapy Mississippi Llc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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