Brian Hendricks, PTA

Primary specialty

SpecialistTaxonomy code 174400000X

License

PTA 19335 Issued in FL

Practice address

4111 W Morrison Ave
Tampa, FL 33629-4335

Phone

(727) 698-6175

NPI assigned

Feb 15, 2011

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297728000000",
    "number": "1467759175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 W MORRISON AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336294335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 W MORRISON AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336294335",
            "telephone_number": "727-698-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "BRIAN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "PTA 19335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Titus Henderson
• Andrea Hendley
• Yovonne Germaine Hendley, PHARMD
• Beatrice Hendren, A.R.N.P.
• Leah Elizabeth Hendrick, M.D.
• Courtney Hendrickson, LCSW
• Kathryn Hendrickson
• Elizabeth Dianne Hendrix, MD
• Kaitlin J. Hendrix, ARNP
• Lauren Susan Hendrix, D.O.

• Specialist in Tampa, FL
• Providers in Tampa, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.