DR. JODI DENEE HENDRICKSON


Address: 3060 Frontier Way, Fargo, ND 58104-8909
Phone: 7012322340

DR. JODI DENEE HENDRICKSON (NPI# 1275680720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275680720
Entity Type Individual
Full Name DR. JODI DENEE HENDRICKSON
Credential PT
Practice Address 3060 Frontier Way
Fargo
ND 58104-8909
Mailing Address 4272 Auburn Ave
Fargo
ND 58104-8428
Practice Telephone 7012322340
Practice Fax Number 7012322330
Mailing Telephone 7018936776
Enumeration Date 2007-01-05
Last Update Date 2012-02-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251P0200X Physical Therapist
Specialization: Pediatrics
1431 ND Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
COVENTRY 1083461 01
ND 51421 05
ND TRICARE A016 01
NORIDIAN BPA 28235 01
MEDICA/UNITED HEALTH 64-07780 01
HEALTH PARTNERS CIGNA HP78396 01
ND BCBS ALL STATES 28235 01

Other Providers JODI HENDRICKSON

NPI Name Taxonomy Address Enumeration
1841833860 Jodi Hendrickson Occupational Therapist 11937 Us Highway 271, Tyler, TX 75708-3154 2019-10-22
1073017646 Jodi Lynn Jo Hendrickson Behavior Technician 925 Hwy Vv, Kennett, MO 63857 2018-03-20

Office Location

Street Address 3060 FRONTIER WAY
City FARGO
State ND
Zip Code 58104-8909

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548601164 Lora Rogness Speech-Language Pathologist 3060 Frontier Way, Fargo, ND 58104-8909 2013-07-11
1780021097 Barbra Matthews Occupational Therapy Assistant 3060 Frontier Way, Fargo, ND 58104-8909 2013-05-28
1962743690 Sarah Rodenburg Occupational Therapist 3060 Frontier Way, Fargo, ND 58104-8909 2013-03-05
1720322373 Stacy Henrich Speech-Language Pathologist 3060 Frontier Way, Fargo, ND 58104-8909 2012-11-20
1205100203 Desiree Wildeman Occupational Therapist 3060 Frontier Way, Fargo, ND 58104-8909 2012-03-08
1215201314 Alyssa Lynn Sauvageau Occupational Therapist 3060 Frontier Way, Fargo, ND 58104-8909 2012-03-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043837347 Pinnacle Therapy & Wellness, Pllc Physical Therapist 4500 36th Ave S Suite 100, Fargo, ND 58104 2020-07-02
1619509858 Patricia Helen Bathie Counselor 4243 Auburn Ave., Fargo, ND 58104 2020-02-05
1346892866 Elizabeth Olis Registered Nurse 2633 55th St. S, Apartment 202, Fargo, ND 58104 2019-07-15
1780247023 Keith Kirimi Ndege Physical Therapy Assistant 5225 23rd Ave South, Fargo, ND 58104 2019-04-22
1346728557 Ms4 Pllc Pharmacy 4476 31st Avenue South, Suite #105, Fargo, ND 58104 2018-07-31
1891286977 Jessica Rae Majidian Dentist 3030 49th St S, Fargo, ND 58104 2018-05-23
1821588500 Alissa Nichole Larson Pharmacist 5675 26th Ave S St. 136a, Fargo, ND 58104 2018-05-17
1790297430 Northern Lights Dental Dentist 4150 19th Ave S, Suite 301, Fargo, ND 58104 2017-11-03
1619406733 Cobalt Rehabilitation Hospital Fargo LLC Rehabilitation Hospital 4671 38th Street S, Fargo, ND 58104 2017-06-12
1790210318 Homefield Health, LLC Clinic/Center 4141 31st Ave S., Ste 102, Fargo, ND 58104 2017-04-21
Find all providers in zip 58104

Taxonomy Information

Taxonomy Code 2251P0200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114198983 Erika Lea Hanson Physical Therapist 1420 8th St N, Fargo, ND 58102-2613 2008-03-19
1023411386 Theresa Marie Cowles Physical Therapist 801 Broadway N, Fargo, ND 58102-3641 2014-10-01
1578966057 Adrienne Shirlene Wickenheiser Physical Therapist 801 Broadway N, Fargo, ND 58102-3641 2014-09-29
1427229954 Catherine Ann Sadler-villella Physical Therapist 4201 25th St S, Fargo, ND 58104-6800 2008-03-12
1730369935 Suzanne Shelley Hammer Physical Therapist 3060 Frontier Way S, Fargo, ND 58104-8909 2007-11-06
1922155043 Shannon Marie Buckmier Physical Therapist 3001 11th St S, Fargo, ND 58103-6048 2007-01-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871853010 Kim Bloms Physical Therapist 1702 E Main St # 103, Mandan, ND 58554-3818 2012-05-22
1861619900 Karena Lee Holm Physical Therapist 2200 Library Cir, Grand Forks, ND 58201 2007-04-19
1497805196 Great Kids Therapy, Ltd. Physical Therapist 102 W Beaton Dr, Suite 100, West Fargo, ND 58078-2652 2007-01-12
1053468223 Brian Allen Borchardt Physical Therapist 7119 Maple Ln, Horace, ND 58047-4714 2007-01-03
1245287069 Tammy Leigh Sayler Physical Therapist 2951 S 34th St, Grand Forks, ND 58201-6061 2006-05-27
1689290124 Engagement Pllc Physical Therapist 508 13th St E, Dickinson, ND 58601-4179 2020-06-21
1548712516 Jeremy St. Aubin Physical Therapist 612 Center Ave N, Ashley, ND 58413-7013 2016-10-26
1487032173 Melissa Marie Lennon Physical Therapist 2200 Library Cir, Grand Forks, ND 58201-6326 2015-05-13
1225220759 Jackie Mrachek Physical Therapist 300 N 7th St, Bismarck, ND 58501-4439 2007-08-17
1093857633 Patricia A Gerszewski Physical Therapist 215 2nd St Se, Minot, ND 58701-3924 2007-02-12
Find all providers with the same taxonomy

Competitor

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City FARGO
Zip Code 58104

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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