Heidi Hendrickson, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2012028063 Issued in MO

Practice address

402 W 1St St
Adrian, MO 64720-9277

Phone

(660) 464-2989

NPI assigned

Jan 13, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421107200000",
    "number": "1801285804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 W 1ST ST",
            "city": "ADRIAN",
            "state": "MO",
            "postal_code": "647209277",
            "telephone_number": "660-464-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W 1ST ST",
            "city": "ADRIAN",
            "state": "MO",
            "postal_code": "647209277",
            "telephone_number": "660-464-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "HEIDI",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2012028063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• D&S Health Partners, LLC
• Erma Louise Davis, CPTA
• Four Seasons of Adrian, LLC
• George Glenn Gardner, PA-C
• Tiffany Hendricks, LCSW
• Monique A Hill, COTA/L
• Lynn A Hines
• Bailie G Land, CPM
• Melissa M Lane, CPS
• Phyllis M Miller, COTA

• All providers in Adrian, MO
• Occupational Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.