Active NPIIndividual provider

Mrs. Jennifer D Hendricks, PT

Physical Therapist, Pediatrics in Syracuse, New York

NPI Number1740434828
Practice location
171 Intrepid Ln, Syracuse, NY 13205-2548
Fax
315-437-4698
Last updated
August 17, 2022

Jennifer D Hendricks is a Physical Therapist, Pediatrics based in Syracuse, NY. Jennifer D Hendricks practices in Syracuse, NY and has the professional credentials of PT. The NPI Number for Jennifer D Hendricks is 1740434828 and holds a License No. 018457-1 (NY). The current practice location address for Jennifer D Hendricks is 171 Intrepid Ln, Syracuse, NY 13205-2548 and can be reached out via phone at 315-437-4689 and via fax at 315-437-4698.

Provider Profile Details

NPI Number
1740434828
Provider Name
Jennifer D Hendricks
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
171 Intrepid Ln, Syracuse, NY 13205-2548
Phone Number
315-437-4689
Fax Number
315-437-4698
Primary Taxonomy
Physical Therapist, Pediatrics · 2251P0200X
Sole Proprietor
No
Other Names
Ms. Jennifer D Butera, PT (Former Name)
Provider Enumeration Date
November 16, 2008
Last Update Date
August 17, 2022
Certification Date
August 17, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
171 Intrepid Ln
Syracuse, NY 13205-2548
Zip
13205-2548
Phone Number
315-437-4689
Fax Number
315-437-4698
Syracuse, NY 13205Get directions →

Provider Business Mailing Address Details

Address
P.o. Box 26044
Christiansted, VI 00824
City
Christiansted
State
VI
Zip
00824
Phone Number
315-437-4689
Fax Number
315-437-4698

License Information

License Number
018457-1
License State
NY
Taxonomy
Physical Therapist, Pediatrics · 2251P0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Jennifer D Hendricks, PT?

The NPI number of Mrs. Jennifer D Hendricks, PT is 1740434828. It was assigned on November 16, 2008 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jennifer D Hendricks, PT?

Mrs. Jennifer D Hendricks, PT is registered under the primary taxonomy Physical Therapist, Pediatrics (code 2251P0200X), licensed in NY under license number 018457-1.

Where does Mrs. Jennifer D Hendricks, PT practice?

The practice location is 171 Intrepid Ln, Syracuse, NY 13205-2548. The office can be reached at 315-437-4689 (phone) or 315-437-4698 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740434828 directly on the NPPES registry website.

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