Christine Marie Hendry, LAC, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11398 Issued in CA

Practice address

1807 Robinson Ave
104
San Diego, CA 92103-7633

Phone

(619) 255-4477

Fax

(619) 255-4499

NPI assigned

Jan 5, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Results Rehabilitation Inc

  • Physical Therapist
  • Coronado, CA
  • NPI 1326450255
  NPD (past)

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1508136771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 10TH ST",
            "address_2": "APT 8",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921182945",
            "telephone_number": "619-972-6138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 ROBINSON AVE",
            "address_2": "104",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921037633",
            "telephone_number": "619-255-4477",
            "fax_number": "619-255-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRY",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LAC, PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-05",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "9258",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "11398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• P. Lance Hendricks, M.D.
• Theresa Hendricks, PT
• Tyler Jacob Hendricks, M.D.
• Kaitlyn Ashley Hendrickson
• Kyle A Hendrie, DO
• Jacob Sijie Heng, MD, PHD
• Ngy Seav Heng, PHARMD
• Lauren Hengehold
• Donna Henig, BCBA
• Lee Henig

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.