Individual provider Active NPI

Danika Hendricks

  • Occupational Therapist
  • Rochester, NY
National Provider Identifier
1205548153
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
025485-01 Issued in NY
Practice address
140 Southwick CT
Rochester, NY 14623-2152
Phone
(585) 748-5802
NPI assigned
Dec 21, 2022
Reactivated
Feb 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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 025485-01 NY Primary

Addresses

Primary practice location

140 Southwick CT
Rochester, NY 14623-2152

Mailing address

140 Southwick CT
Rochester, NY 14623-2152
Phone (585) 748-5802

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230301000652 NY Practitioner - Occupational Therapist in Private Practice 4385017938 Practice locations: Rochester, NY

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Columbia University College of Physicians and Surgeons, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

140 Southwick CT
Rochester, NY 14623-2152
Phone (585) 748-5802

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
025485-01NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Rehabilitation LLP CurrentSince Oct 28, 2023 Accepting new patients
Doorbell Occupational Therapy PLLC Occupational Therapist CurrentSince Dec 28, 2022 Accepting new patients

Locations

500 N Columbus Ave
Mount Vernon, NY 10552
Phone (914) 266-3796

1 Johnsarbor Dr W
Rochester, NY 14620
Phone (585) 532-7214

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.

NPI Registry JSON

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1205548153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 SOUTHWICK CT",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146232152",
            "telephone_number": "585-748-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 SOUTHWICK CT",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146232152",
            "telephone_number": "585-748-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "DANIKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-21",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "deactivation_date": "2023-02-08",
        "reactivation_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "025485-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.