Tiffany Hendricks, DPT

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT60066406 Issued in WA

Practice address

16120 NE 8TH St
Bellevue, WA 98008-3937

Phone

(425) 747-4004

Fax

(425) 747-1069

NPI assigned

Dec 31, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Kindering Center

  • Specialist
  • Bellevue, WA
  • NPI 1275670572
  NPD (past)

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

{
    "created_epoch": "1230681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233100800000",
    "number": "1215173877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16120 NE 8TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980083937",
            "telephone_number": "425-747-4004",
            "fax_number": "425-747-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16120 NE 8TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980083937",
            "telephone_number": "425-747-4004",
            "fax_number": "425-747-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "TIFFANY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-31",
        "last_updated": "2009-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "PT60066406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7018120",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joel Amos Henckel, PHARMD
• Debra Henderlight
• Catherine A. Henderson, PHD, ARNP
• Christopher Ryan Henderson, M.D.
• Connie Louise Henderson
• Nyle Allan Hendrickson, MD
• Gary F Henkel, MD
• Kristin M. Henkes, OT
• Jessica Henneman, ARNP
• Charlotte Adeliza Hennessy

• Specialist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.