DOUGLAS E HENRY MD NPI 1639116122

NPI Information

  • NPI: 1639116122
  • Provider Name: DOUGLAS E HENRY, MD
  • Classification: Physical Medicine & Rehabilitation - 2081P0010X
  • Specialization: Pediatric Rehabilitation Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 235 WEALTHY ST SE
    GRAND RAPIDS, MI
    ZIP 49503
  • Phone: (616) 840-8005

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NPI Details

Douglas E Henry, MD is a pediatric rehabilitation medicine physical medicine rehabilitation in Grand Rapids, MI with 37 years of experience. The provider is a physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care. Douglas E Henry, MD NPI is 1639116122. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1989

The provider's business location address is:

235 WEALTHY ST SE
GRAND RAPIDS, MI
ZIP 49503-247
Phone: (616) 840-8005
Fax: (616) 840-9642

The NPI 1639116122 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/1/2006 and was last updated on 4/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12081P0010XPhysical Medicine & RehabilitationPediatric Rehabilitation Medicine4301054794MICHIGANYes
22081P0010XPhysical Medicine & RehabilitationPediatric Rehabilitation Medicine35072544OHIONo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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