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

Mark W Henebry, PT

Individual provider Physical Therapist · NPI 1497993174

Mark W Henebry, PT is a Physical Therapist in Private Practice in Troy, Missouri. Qualified in 2009, 17 years ago. Practices with Professional Rehabilitation Services LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
17
Licensed in
IL, MO
In the registry since
2009
Specialties on file
3
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

108 Professional Parkway Dr
Troy, MO 63379-2823
Phone: (636) 528-6080
Fax: (636) 528-3973
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2009004293 (MO)
Physical Therapist Taxonomy 225100000X · Licence 2009002205 (MO)
Physical Therapist Taxonomy 225100000X · Licence 070017005 (IL)

Record details

NPI number1497993174
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 3, 2009
Last updated in NPPESApril 21, 2009
Mailing address108 Professional Parkway Dr., Troy, MO 63379-2823

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Professional Rehabilitation Services Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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