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Mr. Kendra Alexis Deberry, PTA

Physical Therapy Assistant in Olive Branch, MS · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104847094

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Registry record

Entity type Individual (Type 1)
Name Mr. Kendra Alexis Deberry
Credential PTA
Sex Female
Practice address 5600 Goodman Rd Ste D, Olive Branch, MS, 38654
Phone (662) 895-5454
Fax (662) 895-4546
Enumeration date Jul 23, 2006
Last updated in NPPES Jul 8, 2007

Taxonomy & licenses

225200000X Physical Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PA2517 (MS) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Kendra Deberry's NPI record?
Cross-check NPI 1104847094 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1104847094 active?
Yes, as of the latest NPPES snapshot, NPI 1104847094 is active (record last updated 2007-07-08).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.