Organization Active NPI

Hendrix Rehabilitation & Conditioning Service Inc

  • Physical Therapist
  • Manchester, TN
National Provider Identifier
1831503556
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT7480 Issued in TN
Legal business name
HENDRIX REHABILITATION & CONDITIONING SERVICE INC
Practice address
852 Interstate Drive
Manchester, TN 37355-3104
Phone
(931) 728-5479
Fax
(931) 728-9937
NPI assigned
Jun 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2014

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

Authorized official

Name
Jerry Lucas Hendrix
Title
Owner
Phone
(931) 728-5479

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT7480 TN Primary

Addresses

Primary practice location

852 Interstate Drive
Manchester, TN 37355-3104

Mailing address

852 Interstate Dr
Manchester, TN 37355-3104
Phone (931) 728-5479

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403222400000",
    "number": "1831503556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 INTERSTATE DR",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373553104",
            "telephone_number": "931-728-5479",
            "fax_number": "931-728-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 INTERSTATE DRIVE",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373553104",
            "telephone_number": "931-728-5479",
            "fax_number": "931-728-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDRIX REHABILITATION & CONDITIONING SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-06-20",
        "status": "A",
        "authorized_official_last_name": "HENDRIX",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "LUCAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-728-5479"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT7480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.