Active NPI
William T Hendrix IV
- Occupational Therapist
- Flowood, MS
National Provider Identifier
1831879543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3749
- Practice address
- 2655 Lakeland Dr
Flowood, MS 39232-9516 - Phone
- (601) 714-2230
- NPI assigned
- Jul 19, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3749 | MS | Primary |
Addresses
Primary practice location
2655 Lakeland Dr
Flowood, MS 39232-9516
Mailing address
526 Northwind Dr
Brandon, MS 39047-8567
Phone (662) 822-3606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3749 | MS | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689724800000",
"number": "1831879543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "526 NORTHWIND DR",
"city": "BRANDON",
"state": "MS",
"postal_code": "390478567",
"telephone_number": "662-822-3606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2655 LAKELAND DR",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392329516",
"telephone_number": "601-714-2230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRIX",
"first_name": "WILLIAM",
"middle_name": "T",
"name_suffix": "IV",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-19",
"last_updated": "2023-07-19",
"certification_date": "2023-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MS",
"license": "3749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flowood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.