Paul James Hendricks, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

1111524 Issued in TX

Practice address

1602 Lohmans Crossing Rd
Lakeway, TX 78734-5160

Phone

(512) 261-8699

Fax

(512) 261-2237

NPI assigned

Dec 8, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Body Balance LLC

  • Orthopedic Physical Therapist
  • Lakeway, TX
  • NPI 1013327873

  Orthopedic

  NPD (past) Authorized official
• Body Balance Orthopedic & Sport Performance

  • Orthopedic Physical Therapist
  • Lakeway, TX
  • NPI 1881887123

  Orthopedic

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1053470567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 COPPERLEAF RD",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787343840",
            "telephone_number": "512-261-8699",
            "fax_number": "512-261-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 LOHMANS CROSSING RD",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787345160",
            "telephone_number": "512-261-8699",
            "fax_number": "512-261-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "PAUL",
        "middle_name": "JAMES",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "TX",
            "license": "1111524",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1111524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PT LICENSE",
            "identifier": "1111524",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Healthtexas Provider Network
• Healthtexas Provider Network
• Healthy Smiles of Lakeway
• Molly Dee Heath, MSN, APRN, FNP-C
• Helix Physical Therapy & Chiropractic LLC
• Destiny Ann Marie Hernandez, BCBA
• Kathleen Kinzer Hibler, M.D.
• Tania Hight, NP-C
• Hill Country Allergy & Asthma, PLLC
• Hill Country Apothecary

• All providers in Lakeway, TX
• Orthopedic Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.