Active NPI
Thomas Jaymes Hendrickson, PT
- Orthopedic Physical Therapist
- Darien, CT
National Provider Identifier
1154626018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 9744
- Practice address
- 319 Post Rd
Darien, CT 06820 - Phone
- (475) 209-9420
- Fax
- (475) 209-9421
- NPI assigned
- Jan 24, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 9744 | CT | Primary |
Addresses
Primary practice location
319 Post Rd
Darien, CT 06820
Mailing address
7 Reynolds Ave
Stamford, CT 06905-4121
Other practice location 1
8300 Health Park Ste 127
Raleigh, NC 27615-4731
Phone (919) 845-6160
Other practice location 2
200 Pemberwick Rd
Greenwich, CT 06831-4236
Phone (203) 998-6522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Physical Therapy Center of Stamford, LLC | Current | Accepting new patients | |
| Sports & More Physical Therapy, Inc. | Orthopedic | Past | Accepting new patients |
Locations
1234 Summer St
Ste 100
Stamford, CT 06905
Phone (203) 359-8326
Organizations & group practices 2
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.
-
- Specialist
- Stamford, CT
- NPI 1861675621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565654400000",
"number": "1154626018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 REYNOLDS AVE",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069054121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 POST RD",
"city": "DARIEN",
"state": "CT",
"postal_code": "06820",
"telephone_number": "475-209-9420",
"fax_number": "475-209-9421"
}
],
"practiceLocations": [
{
"address_1": "8300 Health Park Ste 127",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276154731",
"country_code": "US",
"telephone_number": "919-845-6160",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Pemberwick Rd",
"address_purpose": "LOCATION",
"city": "Greenwich",
"state": "CT",
"postal_code": "068314236",
"country_code": "US",
"telephone_number": "203-998-6522",
"fax_number": "475-209-9421",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENDRICKSON",
"first_name": "THOMAS",
"middle_name": "JAYMES",
"name_prefix": "Dr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-24",
"last_updated": "2019-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CT",
"license": "9744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Darien, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.