Aubree L Hendershot, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2009027340 Issued in MO

Practice address

638 NW Jefferson St
Grain Valley, MO 64029-8278

Phone

(816) 836-0800

Fax

(816) 836-3229

NPI assigned

May 21, 2009

Last updated

May 15, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Aubree L Mullinix Former name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spine & Extremity Rehabilitation Center of Kansas City North Inc

  dba SERC of Kansas City North; SERC of Metro North

  • Physical Therapist
  • Riverside, MO
  • NPI 1962450569
  NPD (past)

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1821223751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 NW JEFFERSON ST",
            "city": "GRAIN VALLEY",
            "state": "MO",
            "postal_code": "640298278",
            "telephone_number": "816-836-0800",
            "fax_number": "816-836-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 NW JEFFERSON ST",
            "city": "GRAIN VALLEY",
            "state": "MO",
            "postal_code": "640298278",
            "telephone_number": "816-836-0800",
            "fax_number": "816-836-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSHOT",
        "first_name": "AUBREE",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-21",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-04235",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2009027340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUBREE",
            "last_name": "MULLINIX",
            "middle_name": "L",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kurt Frederick Hanneman, DDS
• Thomas Hargrave, DPT, ATC, CSCS
• Ashley Hawkins
• Heart to Heart Counseling LLC
• Helping Hands Therapy Services
• Alexa Gabrielle Hernandez
• Allison K Hieber
• Michelle L Hirsch, APRN, FNP-C
• Kaylee Hostetter
• Brooks Houston

• Physical Therapist in Grain Valley, MO
• Providers in Grain Valley, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.