Individual provider Active NPI

Terese Hendrickson

  • Occupational Therapist
  • Champaign, IL
National Provider Identifier
1104268606
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.005474 Issued in IL
Practice address
1917 Woodfield Rd
Champaign, IL 61822-9246
Phone
(217) 778-9897
NPI assigned
Jul 24, 2013
Last updated
Jul 24, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056.005474 IL Primary

Addresses

Primary practice location

1917 Woodfield Rd
Champaign, IL 61822-9246

Mailing address

1917 Woodfield Rd
Champaign, IL 61822-9246
Phone (217) 778-9897

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160815001765 IL Practitioner - Occupational Therapist in Private Practice 1759675754 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Savoy Therapy Services IncGroup PAC ID 8921260506, 13 clinicians

Practice addresses (Care Compare)

415 N Dunlap Ave
Unit 452
Savoy, IL 61874-1032
Phone (217) 898-8393

501 Trefoil
Savoy, IL 61874-8511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056.005474ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services Il LLC Occupational Therapist CurrentSince Sep 1, 2025 Accepting new patients
Empowerme Wellness Kansas City, LLC Occupational Therapist CurrentSince Jul 2, 2021 Accepting new patients
Empowerme Wellness Kansas City, LLC CurrentSince Jul 2, 2021 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Occupational Therapist CurrentSince Jul 2, 2021 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Occupational Therapist CurrentSince Jul 2, 2021 Accepting new patients
Savoy Therapy Services Inc Occupational Therapist CurrentSince Aug 2, 2021 Accepting new patients

Locations

909 Green Mill Rd
Arcola, IL 61910
Phone (217) 268-3516

1021 W E St
Belleville, IL 62220
Phone (618) 233-2095

7108 Marine Rd
Edwardsville, IL 62025
Phone (618) 706-9759

415 N Dunlap Ave
Unit 452
Savoy, IL 61874
Phone (217) 898-8393

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 287-3917

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374624000000",
    "number": "1104268606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 WOODFIELD RD",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618229246",
            "telephone_number": "217-778-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1917 WOODFIELD RD",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618229246",
            "telephone_number": "217-778-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "TERESE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-24",
        "last_updated": "2013-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.005474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.