1. Home
  2. Directory
  3. New York
  4. Rochester
  5. Physical Medicine Rehabilitation
  6. NPI Profile

DOUGLAS R HENNEBERG ATC
NPI 1164096962
Physical Medicine & Rehabilitation - Sports Medicine in Rochester, NY

Active since May 17, 2021
1000 E HENRIETTA RD, ROCHESTER, NY 14623(585) 292-2848 Get Directions Write a Review

NPPES record last updated: May 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Douglas R Henneberg Atc NPPES

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

DOUGLAS R HENNEBERG ATC (NPI 1164096962) is an individual sports medicine provider in Rochester, New York, licensed in New York (001092) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1164096962
Entity TypeIndividualMale
Primary Taxonomy2081S0010X
Provider Legal NameDOUGLAS R HENNEBERGCredential: ATC
Location Address1000 E HENRIETTA RDRochester, NY 14623-5701
Mailing Address1000 E Henrietta RdRochester, NY 14623-5701 · (585) 292-2848
Phone(585) 292-2848
Sole ProprietorYes
Enumeration DateMay 17, 2021
NPPES CertifiedMay 17, 2021
✔ NPI 1164096962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License✔ Licensed in NY · 001092
Definition

A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.

1000 E HENRIETTA RD, Rochester, NY 14623
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

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

DR. DAVID LAWRENCE
Dentist
1000 E HENRIETTA RD
ROCHESTER, NY 14623
Monroe County (585) 292-2761
JENNIFER M FERGUSON
Psychologist (School)
1000 E HENRIETTA RD
ROCHESTER, NY 14623
Monroe County (845) 779-6622

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 Douglas Henneberg's NPI number?

The NPI number for Douglas Henneberg is 1164096962. It was assigned to this individual provider in the NPPES registry on May 17, 2021.

Where is Douglas Henneberg located?

Douglas Henneberg practices at 1000 E Henrietta Rd, Rochester, NY 14623. The listed phone number is (585) 292-2848.

What is Douglas Henneberg's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

When was this NPI record last updated?

The NPPES record for Douglas Henneberg was last updated on May 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.