Individual provider Active NPI

Dana Jo Hendrix, OTR/L

  • Pediatric Occupational Therapist
  • Ontario, OH
National Provider Identifier
1700319753
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT002155 Issued in OH
Practice address
2003 W 4TH St Ste 205
Ontario, OH 44906-1865
Phone
(567) 307-6008
NPI assigned
Apr 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT002155 OH Primary

Addresses

Primary practice location

2003 W 4TH St Ste 205
Ontario, OH 44906-1865

Mailing address

700 Childrens Dr
Columbus, OH 43205-2664

Other practice location 1

350 N Cleveland Ave
Westerville, OH 43082-9105
Phone (614) 722-2200

Other practice location 2

750 Scholl Rd
Mansfield, OH 44907-1570
Phone (567) 307-6008

Other practice location 3

1481 W Town St
Columbus, OH 43223-1379
Phone (614) 722-2200

Other practice location 4

26 Hospital Dr
Athens, OH 45701-2471
Phone (614) 722-2200

Other identifiers 1

IdentifierTypeStateIssuer
HENDRIXMedicaidOH

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

LicenseStateTypeSpecialty
OT002155OHMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nationwide Children'S Hospital Past Accepting new patients
Nationwide Children'S Hospital Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1700319753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CHILDRENS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 W 4TH ST STE 205",
            "city": "ONTARIO",
            "state": "OH",
            "postal_code": "449061865",
            "telephone_number": "567-307-6008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 N Cleveland Ave",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430829105",
            "country_code": "US",
            "telephone_number": "614-722-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 Scholl Rd",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "OH",
            "postal_code": "449071570",
            "country_code": "US",
            "telephone_number": "567-307-6008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1481 W Town St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432231379",
            "country_code": "US",
            "telephone_number": "614-722-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "OH",
            "postal_code": "457012471",
            "country_code": "US",
            "telephone_number": "614-722-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRIX",
        "first_name": "DANA",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OH",
            "license": "OT002155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HENDRIX",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.