Katherine Hendricks, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3632 Issued in NE

Practice address

11511 S 42ND St Ste 106
Bellevue, NE 68123-1089

Phone

(402) 502-4678

NPI assigned

Sep 21, 2016

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

Enrolled in NE2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physical Medicine and Rehabilitation

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Achieve PCGroup PAC ID 6406881127, 5 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Achieve PC

  • Physical Therapist
  • Bellevue, NE
  • NPI 1306824867
  Medicare reassignment Care Compare group NPD
• Makovicka Harms Group PC

  • Physical Therapist
  • Omaha, NE
  • NPI 1386879559
  NPD (past)

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1366990103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11511 S 42ND ST STE 106",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681231089",
            "telephone_number": "402-502-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11511 S 42ND ST STE 106",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681231089",
            "telephone_number": "402-502-4678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13336 Industrial Rd",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681371124",
            "country_code": "US",
            "telephone_number": "402-330-3211 x119",
            "fax_number": "402-330-5970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "KATHERINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47065477701",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Marie Henderson, RBT
• Diana J Henderson
• Kiera Alanna Henderson
• Tai'Jianea Henderson
• Tina Henderson
• Jessica Lynn Hendrickson
• Destiny Celia Hendrix
• McKenzie Jean Hendrix
• Brian Paul Hennen, RPH
• Martha M Henriquez

• Physical Therapist in Bellevue, NE
• Providers in Bellevue, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.