Individual provider Active NPI

Brandon Henderson, OTD, OTR/L, CHT

  • Occupational Therapist
  • Royal Palm Beach, FL
National Provider Identifier
1194274043
Registry record updated Nov 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
21035 Issued in FL
Practice address
2923 Bellarosa Cir
Royal Palm Beach, FL 33411-1467
Phone
(240) 418-1715
NPI assigned
Oct 3, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2024

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 21035 FL Primary

Addresses

Primary practice location

2923 Bellarosa Cir
Royal Palm Beach, FL 33411-1467

Mailing address

2923 Bellarosa Cir
Royal Palm Beach, FL 33411-1467
Phone (240) 418-1715

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211021001844 FL Practitioner - Occupational Therapist in Private Practice 2668860735 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hand Lab FL LLCGroup PAC ID 3971002346, 4 clinicians

Practice addresses (Care Compare)

15300 S Jog Rd
Suite 103
Delray Beach, FL 33446-2164
Phone (561) 908-2395

9980 Central Park Blvd N
Suite 102
Boca Raton, FL 33428-1703
Phone (561) 470-2205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21035FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hand Lab FL LLC Occupational Therapist CurrentSince Jul 1, 2025 Accepting new patients
Foundations Therapy, Inc. Past Accepting new patients
Foundations Therapy, Inc. PastSince Feb 6, 2022 Accepting new patients
Joyner Hand, PA PastSince Oct 1, 2021 Accepting new patients

Locations

15300 S Jog Rd
Ste 103
Delray Beach, FL 33446
Phone (561) 908-2395

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732406400000",
    "number": "1194274043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2923 BELLAROSA CIR",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111467",
            "telephone_number": "240-418-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2923 BELLAROSA CIR",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111467",
            "telephone_number": "240-418-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-03",
        "last_updated": "2024-11-24",
        "certification_date": "2024-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "21035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2024; 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.