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

Kerry Henneke, PT

Individual provider Physical Therapist · NPI 1265473508

Kerry Henneke, PT is a Physical Therapist in Private Practice in Victoria, Texas. Qualified in 1995, 31 years ago. Accepts Medicare assignment. Licensed in Texas.

Years since qualifying
31
Licensed in
TX
In the registry since
2006
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

4504 Lilac Ln Ste 1
Victoria, TX 77901-2625
Phone: (361) 572-0385
Fax: (361) 572-0382
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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 1103943 (TX)

Record details

NPI number1265473508
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 9, 2006
Last updated in NPPESMay 3, 2012

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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