Active NPI
Chance B Hendricks, PT
- Physical Therapist
- Yuba City, CA
National Provider Identifier
1497096770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT40015
- Practice address
- 825 Jones Rd
Yuba City, CA 95991-6124 - Phone
- (530) 923-7160
- NPI assigned
- Mar 11, 2013
- Sex
- Male
- 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 | PT40015 | CA | Primary |
Addresses
Primary practice location
825 Jones Rd
Yuba City, CA 95991-6124
Mailing address
825 Jones Rd
Yuba City, CA 95991-6124
Phone (530) 923-7160
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT40015 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362960000000",
"number": "1497096770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 JONES RD",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959916124",
"telephone_number": "530-923-7160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 JONES RD",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959916124",
"telephone_number": "530-923-7160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRICKS",
"first_name": "CHANCE",
"middle_name": "B",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-11",
"last_updated": "2013-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT40015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yuba City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.