Active NPI
Theresa Hendricks, PT
- Physical Therapist
- San Diego, CA
National Provider Identifier
1952546244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 38979
- Practice address
- 235 Nutmeg St
San Diego, CA 92103-6201 - Phone
- (757) 812-5701
- NPI assigned
- Dec 16, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 38979 | CA | Primary |
Addresses
Primary practice location
235 Nutmeg St
San Diego, CA 92103-6201
Mailing address
235 Nutmeg St
San Diego, CA 92103-6201
Phone (757) 812-5701
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 |
|---|---|---|---|
| 38979 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358726400000",
"number": "1952546244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 NUTMEG ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921036201",
"telephone_number": "757-812-5701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 NUTMEG ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921036201",
"telephone_number": "757-812-5701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRICKS",
"first_name": "THERESA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-16",
"last_updated": "2013-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "38979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.