P Praxis·MD
● Active Type 1 · Individual

Kerry Henneke, P.T.

Physical Therapist·Victoria, TX· NPI 1265473508 · Enumerated 2006 · 19 years on NPI
Henneke is 1 of 50 physical therapist providers in Victoria and 1 of 16582 in Texas.
NPI age
19 years
Enumerated 2006-06-09
Primary specialty
Physical Therapist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-05-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 16582 active physical therapist providers in Texas.

NPI age
19 years
↑ 10 yr above median (9 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-06Enumerated in NPPES
2006 2026

Where they practice

Practice location
4504 Lilac Ln, Suite 1
Victoria, TX 779012625
📞 3615720385fax 3615720382
Mailing address
4504 Lilac Ln, Suite 1
Victoria, TX 779012625
📞 3615720385fax 3615720382

Specialties

  • Physical Therapist Primary
    Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities...
    TX license #1103943 taxonomy 225100000X

Identifiers

TypeValueNotes
05 (TX) 282708104
05 (TX) 282708103

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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