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

Individual provider Physical Therapy Assistant · NPI 1023778941

Jeromy Earnest Henderson, PTA is a Physical Therapy Assistant in Panama City, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2021
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

284 Forest Park Cir
Panama City, FL 32405-4921
Phone: (850) 347-4551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA20208 (FL)

Record details

NPI number1023778941
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedDecember 20, 2021
Last updated in NPPESDecember 20, 2021
Certification dateDecember 20, 2021
Mailing address113 Covington St, Panama City Beach, FL 32413-2846

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