Dorothy Henick, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

QA00847700 Issued in NJ

Practice address

1355 15TH Street
Excel Orthopedic Rehabilitation
Fort Lee, NJ 07024

Phone

(201) 224-8717

Fax

(201) 224-6381

NPI assigned

Jan 24, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344211200000",
    "number": "1356496731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 MAIN STREET",
            "address_2": "EXCEL ORTHOPEDIC REHABILITATION",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "201-488-0488",
            "fax_number": "201-266-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 15TH STREET",
            "address_2": "EXCEL ORTHOPEDIC REHABILITATION",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "07024",
            "telephone_number": "201-224-8717",
            "fax_number": "201-224-6381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENICK",
        "first_name": "DOROTHY",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2012-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00847700",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA00847700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gunnar Hasselgren, DDS, PHD
• Pan He
• Health and Behavior LLC
• Andiea Hedayat-Harris, PH.D.
• David H Henick, M.D.
• Jennifer Schaefer Hepsen, D.P.T.
• Herbert Counseling and Psychotherapy LLC
• Gina Otilia Heredea, P.T.
• Michael Hernandez, M.D.
• Briana Nicole Hidalgo

• Physical Therapist in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; 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.