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

Tierra Simone Henderson, PTA

Individual provider Physical Therapy Assistant · NPI 1871018218

Tierra Simone Henderson, PTA is a Physical Therapy Assistant in Melbourne, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017
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

2200 W Eau Gallie Blvd Ste 105
Melbourne, FL 32935-3166
Phone: (321) 255-2818
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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 PTA27687 (FL)

Record details

NPI number1871018218
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 7, 2017
Last updated in NPPESAugust 7, 2017
Mailing address6415 Fairchild Ave, Cocoa, FL 32927-2431

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