Active NPI
Brittney Hendricks, OTR/L
- Occupational Therapist
- Tempe, AZ
National Provider Identifier
1942867940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 004302
- Practice address
- 433 E Marny Rd
Tempe, AZ 85281-1409 - Phone
- (480) 634-3679
- NPI assigned
- May 24, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 004302 | AZ | Primary |
Addresses
Primary practice location
433 E Marny Rd
Tempe, AZ 85281-1409
Mailing address
433 E Marny Rd
Tempe, AZ 85281-1409
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004302 | AZ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pioneer Pet, LLC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558656000000",
"number": "1942867940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "433 E MARNY RD",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852811409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "433 E MARNY RD",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852811409",
"telephone_number": "480-634-3679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRICKS",
"first_name": "BRITTNEY",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-24",
"last_updated": "2019-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "004302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.