Jessica Hendrix, OTR/L

Primary specialty

SpecialistTaxonomy code 174400000X

License

OT005676 Issued in GA

Practice address

400 Cedar St
Metter, GA 30439-3338

Phone

(912) 685-3213

Fax

(912) 685-7774

NPI assigned

Nov 21, 2016

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)

Enrolled

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1821531005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1647 COYOTE RD",
            "city": "METTER",
            "state": "GA",
            "postal_code": "304391725",
            "telephone_number": "912-685-3213",
            "fax_number": "912-685-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CEDAR ST",
            "city": "METTER",
            "state": "GA",
            "postal_code": "304393338",
            "telephone_number": "912-685-3213",
            "fax_number": "912-685-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRIX",
        "first_name": "JESSICA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-21",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "OT005676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Tillman Fulmer
• Michael Edward Gasiecki, D.C.
• Jason Andrew Glow, MD
• Sherry Ann Grant
• Tonya Campbell Harris, LPC
• Clara Denise Hibbs, MS, OTR/L
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• Hope and Healing Creative Therapy, LLC
• Hopebridge Homecare Services LLC
• Hopebridge Transportation Services LLC

• All providers in Metter, GA
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.