Individual provider Active NPI

Denise Hendrick, OTR/L, CHT

  • Occupational Therapist
  • Stratford, CT
National Provider Identifier
1720045701
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
000869 Issued in CT
Practice address
2900 Main St Ste 1D
Stratford, CT 06614-4946
Phone
(203) 389-8177
Fax
(203) 387-9447
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 000869 CT
Occupational Therapist 225X00000X 000869 CT Primary

Addresses

Primary practice location

2900 Main St Ste 1D
Stratford, CT 06614-4946

Mailing address

1931 Black Rock Tpke
Fairfield, CT 06825-3506
Phone (203) 332-4363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130416000122 CT Practitioner - Occupational Therapist in Private Practice 3779729850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000869CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hand Therapy Associates, Inc Occupational Therapist CurrentSince Mar 8, 2013 Accepting new patients
Hand Therapy Associates, Inc Occupational Therapist CurrentSince Mar 8, 2013 Accepting new patients
Rehabilitation Associates, Inc. CurrentSince Aug 11, 2024 Accepting new patients
Rehabilitation Associates Inc. PastSince Aug 11, 2024 Accepting new patients

Locations

2 Riverview Dr
Danbury, CT 06810
Phone (203) 798-9702

1931 Black Rock Tpke
Fairfield, CT 06825
Phone (203) 332-4363

849 Boston Post Rd
Milford, CT 06460
Phone (203) 874-1512

761 Main Ave
Ste 113
Norwalk, CT 06851
Phone (203) 845-2987

51 N Main St
Ste 3G
Southington, CT 06489
Phone (203) 389-8177

2900 Main St
Ste 1D
Stratford, CT 06614
Phone (203) 378-0092

245 Amity Rd
Ste 207
Woodbridge, CT 06525
Phone (203) 389-8177

Organizations & group practices 4

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1720045701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 BLACK ROCK TPKE",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068253506",
            "telephone_number": "203-332-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 MAIN ST STE 1D",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066144946",
            "telephone_number": "203-389-8177",
            "fax_number": "203-387-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICK",
        "first_name": "DENISE",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CT",
            "license": "000869",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "000869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.