Benjamin Hendrickson

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

0000003350 Issued in TN

Practice address

140 Technology LN
Johnson City, TN 37604-2004

Phone

(423) 434-2016

NPI assigned

Oct 13, 2020

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

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": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1982202974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9096 MOUNTAIN RD",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242666678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 TECHNOLOGY LN",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042004",
            "telephone_number": "423-434-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "BENJAMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TN",
            "license": "0000003350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodie Marie Henderson, LPC-MHSP TEMP
• Leandra R Henderson, APN
• Olivia Henderson
• Sandra M Henderson, FNP
• Benjamin Oliver Hendrich
• Stacey Hendrickson, LCSW
• Richard A Hendrix, RPH
• Sara Hendrix, PHARMD
• Allison Williams Henley, CCC-SLP
• Sarah Katherine Henley, MED SPE

• Occupational Therapy Assistant in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Occupational Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.