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

Douglas R Henneberg, ATC

Individual provider Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1164096962

Douglas R Henneberg, ATC is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Rochester, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1000 E Henrietta Rd
Rochester, NY 14623-5701
Phone: (585) 292-2848
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X · Licence 001092 (NY)

Record details

NPI number1164096962
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedMay 17, 2021
Last updated in NPPESMay 17, 2021
Certification dateMay 17, 2021

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