Amber Nicole Hendricks

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA009613 Issued in OH

Practice address

1371 Main St
Hamilton, OH 45013-1635

Phone

(513) 785-4800

NPI assigned

Jun 14, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Amber Nicole Noe Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1407424807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2494 BUNKER HILL WOODS RD",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450569133",
            "telephone_number": "513-240-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 MAIN ST",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450131635",
            "telephone_number": "513-785-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "AMBER",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA009613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "NOE",
            "middle_name": "NICOLE",
            "credential": "MAIDEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• George Hemingway, LSW
• Darielle Hemphill
• Deangelo Hemphill
• Denako Hemphill
• Alisaia Hendricks
• Charelle Hendrix
• Susan Lynn Hendryx, LPC
• Amy Henkel
• Kristen Rae Henn
• April Ann Henrich

• Physical Therapy Assistant in Hamilton, OH
• Providers in Hamilton, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.