Anders Hendricks, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13880-24 Issued in WI

Practice address

5708 75TH St Ste B
Kenosha, WI 53142-3635

Phone

(262) 697-9135

NPI assigned

Jun 21, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fresh Start Physical Therapy LLC

  dba Health In Balance

  • Physical Therapist
  • Mequon, WI
  • NPI 1588610562
  Medicare reassignment NPD
• Paxxon Healthcare Services LLC

  • Physical Therapist
  • Menomonee Falls, WI
  • NPI 1003174087
  Medicare reassignment NPD
• Paxxon Healthcare Services LLC

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1336808146
  NPD
• Franklin Rehabilitation LLC

  • Physical Therapist
  • Franklin, WI
  • NPI 1386673051
  NPD (past)
• Athletico LTD

  dba Athletico Physical Therapy

  • Physical Therapist
  • River Grove, IL
  • NPI 1124233721
  NPD (past)
• Athletico LTD

  dba Athletico Sports Medicine and Physical Therapy

  • Physical Therapist
  • Aurora, IL
  • NPI 1699981415
  NPD (past)

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1235659343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OAKMONT LN STE 600C",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595548",
            "telephone_number": "630-575-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5708 75TH ST STE B",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531423635",
            "telephone_number": "262-697-9135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7253 S 76th St",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "WI",
            "postal_code": "531329041",
            "country_code": "US",
            "telephone_number": "414-425-9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "ANDERS",
        "credential": "DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WI",
            "license": "13880-24",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "13880-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Beth Heidle, D.O.
• Mary Hein, LPC-IT
• Bethany Rose Heine, MS
• Mary Kae Heller, LCSW
• William Todd Hendrick, D.C.
• Chloe Sophia Henn
• Jacob Henricksen, PHARMD
• Brittney L Henry
• Miracle Hermann
• Catherine A Hernandez, PA-C

• Physical Therapist in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.