Curtis Edward Hendrickson, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OC 60241819 Issued in WA

Practice address

1045 S 308TH St
Federal Way, WA 98003-4706

Phone

(253) 946-2273

NPI assigned

Oct 11, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1912282807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 S 308TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980034706",
            "telephone_number": "253-946-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 S 308TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980034706",
            "telephone_number": "253-946-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "CURTIS",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-11",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "OC 60241819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "OC 60241819",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Daniel Helmer
• Aiden Helming
• Edward Alan Henderson, LMP
• Neena Sunflower Henderson, LMP
• Samantha Ann Hendricks, DC, MS
• Marisa Hendron
• Theodore Mark Hennessey, DDS
• Heather L Heppenstall, MD
• Misrak Gebrie Herego I, PROVIDER
• Kerizma Hernandez, LMP

• Occupational Therapy Assistant in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Occupational Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.