Individual provider Active NPI

Brooke Hendrickson, DPT

  • Physical Therapist
  • New Braunfels, TX
National Provider Identifier
1851931513
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1278693 Issued in TX
Practice address
601 Creekside Xing Ste 106
New Braunfels, TX 78130-4093
Phone
(210) 804-5400
NPI assigned
Jan 10, 2020
Last updated
Jun 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1278693 TX Primary

Addresses

Primary practice location

601 Creekside Xing Ste 106
New Braunfels, TX 78130-4093

Mailing address

400 Concord Plaza Dr Ste 300
San Antonio, TX 78216-6991
Phone (210) 804-5400

Other practice location 1

8715 Village Dr Ste 120
San Antonio, TX 78217-5425
Phone (210) 477-5151

Other practice location 2

12709 Toepperwein Rd Ste 101
Live Oak, TX 78233-3259
Phone (210) 477-5151

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1851931513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CONCORD PLAZA DR STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166991",
            "telephone_number": "210-804-5400",
            "fax_number": "210-678-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 CREEKSIDE XING STE 106",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304093",
            "telephone_number": "210-804-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8715 Village Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782175425",
            "country_code": "US",
            "telephone_number": "210-477-5151",
            "fax_number": "210-477-5161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12709 Toepperwein Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Live Oak",
            "state": "TX",
            "postal_code": "782333259",
            "country_code": "US",
            "telephone_number": "210-477-5151",
            "fax_number": "210-477-5152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "BROOKE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-10",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1278693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.