Jamie Marie Hendrickson, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

010071 Issued in NY

Practice address

664 Orangeburg Rd
Pearl River, NY 10965-2830

Phone

(845) 735-3066

NPI assigned

May 14, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• A Starting Place

  • Early Intervention Provider Agency
  • Pearl River, NY
  • NPI 1437302262
  NPD (past)

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1457917536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 WYNDHAM CT",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109543845",
            "telephone_number": "845-480-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 ORANGEBURG RD",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109652830",
            "telephone_number": "845-735-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "JAMIE",
        "middle_name": "MARIE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-14",
        "last_updated": "2023-09-12",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "010071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jungwoo Han, DPM
• Bernadette Hayes Griffin, LCSW
• Amy Heimowitz
• Jay D Helman, DPM
• Lori Helmer
• Althea Herico
• Stephanie Herlihy
• Paul Hoffman
• Holt Chiropractic Offices, P.C.
• Brian Patrick Holt, D.C.

• Occupational Therapy Assistant in Pearl River, NY
• Providers in Pearl River, NY by specialty
• Occupational Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.