Active NPI
Lorna J Hendricks, PT
- Physical Therapist
- Fenton, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501010219
- Practice address
- 425 Fenway Drive
Suite a
Fenton, MI 48430 - Phone
- (810) 750-5444
- Fax
- (810) 750-5440
- NPI assigned
- Apr 30, 2007
- Sex
- Female
- 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 | 5501010219 | MI | Primary |
Addresses
Primary practice location
425 Fenway Drive
Suite a
Fenton, MI 48430
Mailing address
3495 S Center Rd
Burton, MI 48519-1455
Phone (810) 424-2007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1096 S Belsay Rd
Suite G
Burton, MI 48509-1948
Phone (810) 743-1611
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Medical Group Genesys | Physical Therapist | Current | Accepting new patients |
| Henry Ford Medical Group Genesys | Current | Accepting new patients | |
| Boike Medical Services PLLC | Past | Accepting new patients | |
| Stephen Harrison DO PC | Past | Accepting new patients | |
| Genesys Regional Medical Center | Physical Therapist | Past | Accepting new patients |
Locations
425 N Fenway Dr
Ste A
Fenton, MI 48430
Phone (810) 750-5444
1096 S Belsay Rd
Ste G
Flint, MI 48509
Phone (810) 743-1611
3495 S Center Rd
Flint, MI 48519
Phone (810) 424-2025
2184 S Ballenger Hwy
Flint, MI 48503
Phone (810) 232-5627
10785 S Saginaw St
Ste D
Grand Blanc, MI 48439
Phone (810) 695-6337
8447 Holly Rd
Ste C
Grand Blanc, MI 48439
Phone (810) 695-9268
7057 N Clio Rd
Mount Morris, MI 48458
Phone (810) 564-2555
Organizations & group practices 6
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.
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- Burton, MI
- NPI 1720959661
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- Physical Therapist
- Burton, MI
- NPI 1114495793
-
- Neurology Physician
- Flint, MI
- NPI 1467645317
-
- Physical Therapist
- Grand Blanc, MI
- NPI 1972643146
-
- Family Medicine Physician
- Grand Blanc, MI
- NPI 1528234929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190851200000",
"number": "1710107875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3495 S CENTER RD",
"city": "BURTON",
"state": "MI",
"postal_code": "485191455",
"telephone_number": "810-424-2007",
"fax_number": "810-743-1099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 FENWAY DRIVE",
"address_2": "SUITE A",
"city": "FENTON",
"state": "MI",
"postal_code": "48430",
"telephone_number": "810-750-5444",
"fax_number": "810-750-5440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRICKS",
"first_name": "LORNA",
"middle_name": "J",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-30",
"last_updated": "2007-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501010219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fenton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.