MR. KENDRA ALEXIS DEBERRY PTA
NPI 1104847094
Physical Therapy Assistant in Olive Branch, MS

Active since July 23, 2006
5600 GOODMAN RD STE D, OLIVE BRANCH, MS 38654(662) 895-5454(662) 895-4546 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Kendra Alexis Deberry Pta NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KENDRA ALEXIS DEBERRY PTA (NPI 1104847094) is an individual physical therapy assistant in Olive Branch, Mississippi, licensed in Mississippi (PA2517) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1104847094
Entity TypeIndividualFemale
Primary Taxonomy225200000X
Provider Legal NameMR. KENDRA ALEXIS DEBERRYCredential: PTA
Location Address5600 GOODMAN RD STE DOlive Branch, MS 38654-7002
Mailing Address5600 Goodman Rd Ste DOlive Branch, MS 38654-7002 · (662) 895-5454 · Fax (662) 895-4546
Fax(662) 895-4546
Sole ProprietorNo
Enumeration DateJuly 23, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1104847094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225200000X
License Licensed in MS · PA2517
Definition

(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.

5600 GOODMAN RD STE D, Olive Branch, MS 38654

Other Names 1

Former Name (1)Ms. Kendra Alexis Jackson

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
5600 GOODMAN RD STE D
OLIVE BRANCH, MS 38654
Occupational Therapist
5600 GOODMAN RD STE D
OLIVE BRANCH, MS 38654
Physical Therapist
5600 GOODMAN RD STE D
OLIVE BRANCH, MS 38654
Occupational Therapist
5600 GOODMAN RD STE D
OLIVE BRANCH, MS 38654
Physical Therapist (Pediatrics)
5600 GOODMAN RD STE D
OLIVE BRANCH, MS 38654
Speech-Language Pathologist
5600 GOODMAN RD STE D
OLIVE BRANCH, MS 38654
Occupational Therapist
5600 GOODMAN RD STE D
OLIVE BRANCH, MS 38654

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kendra Deberry's NPI number?

The NPI number for Kendra Deberry is 1104847094. It was assigned to this individual provider in the NPPES registry on July 23, 2006. The provider is also known as Ms. Kendra Alexis Jackson.

Where is Kendra Deberry located?

Kendra Deberry practices at 5600 Goodman Rd Ste D, Olive Branch, MS 38654. The listed phone number is (662) 895-5454.

What is Kendra Deberry's specialty?

The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.

When was this NPI record last updated?

The NPPES record for Kendra Deberry was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.