Active NPI
Celeste Hendricks
- Physical Therapist
- Olathe, KS
National Provider Identifier
1427434760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-03414
- Practice address
- 11970 S Blackbob Rd Ste 100
Olathe, KS 66062-2023 - Phone
- (913) 393-0092
- NPI assigned
- Aug 10, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-03414 | KS | Primary |
Addresses
Primary practice location
11970 S Blackbob Rd Ste 100
Olathe, KS 66062-2023
Mailing address
11970 S Blackbob Rd Ste 100
Olathe, KS 66062-2023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-03414 | KS | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439164800000",
"number": "1427434760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11970 S BLACKBOB RD STE 100",
"city": "OLATHE",
"state": "KS",
"postal_code": "660622023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11970 S BLACKBOB RD STE 100",
"city": "OLATHE",
"state": "KS",
"postal_code": "660622023",
"telephone_number": "913-393-0092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRICKS",
"first_name": "CELESTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-10",
"last_updated": "2015-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-03414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olathe, KS
- Wayne R. Hemphill, O.D.
- Cynthia Spaugh Henderson, LSCSW
- David Allen Henderson, LSCSW
- Terrence Michael-Lynn Henderson, M.S., LCPC, LPC
- Trent Chandler Henderson, O.D.
- Buffie Marie Hendrix, APRN, NP-C
- Tara Lynn Henesey, LMSW
- Carrie Nicole Henne, OTA
- Wendy Michelle Hensley, LMSW
- Heritage Avonlea of Olathe LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.