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

Maicy Henderson, DPT

Individual provider Physical Therapist · NPI 1083507081

Maicy Henderson, DPT is a Physical Therapist in Private Practice in Harrisburg, Pennsylvania. Qualified in 2025, 1 year ago. Practices with Drayer Physical Therapy Institute LLC, a 217-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
1
Licensed in
PA
In the registry since
2025
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

5000 Commons Dr Side
Harrisburg, PA 17112-4900
Phone: (717) 540-1189
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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 PT033597 (PA)

Record details

NPI number1083507081
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 30, 2025
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Drayer Physical Therapy Institute Llc — 217 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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