JODI HENDRICKSON (NPI# 1841833860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841833860 |
Entity Type | Individual |
Full Name | JODI HENDRICKSON |
Practice Address |
11937 Us Highway 271 Tyler TX 75708-3154 |
Mailing Address |
700 Live Oak St Canton TX 75103-1914 |
Practice Telephone | 9038778700 |
Enumeration Date | 2019-10-22 |
Last Update Date | 2019-10-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 118667 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NO OTHER IDENTIFIERS | 00000000 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275680720 | Jodi Denee Hendrickson | Physical Therapist | 3060 Frontier Way, Fargo, ND 58104-8909 | 2007-01-05 |
1073017646 | Jodi Lynn Jo Hendrickson | Behavior Technician | 925 Hwy Vv, Kennett, MO 63857 | 2018-03-20 |
Street Address |
11937 US HIGHWAY 271 |
City | TYLER |
State | TX |
Zip Code | 75708-3154 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245233550 | Frances L. Elizondo | Physician Assistant | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2005-05-31 |
1497355481 | Jessie Ann Gibson | Dietitian, Registered | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-10-28 |
1538767397 | Ian Joseph Gomez | Dietitian, Registered | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-10-14 |
1588262562 | Jamie R Antwine | Dietitian, Registered | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-10-13 |
1679171797 | Christian Paul Fant | Dietitian, Registered | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-10-12 |
1912512468 | Halle Ross-young | Psychologist | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-09-11 |
1093328700 | Joshua Morgan | Student in an Organized Health Care Education/Training Program | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-08-24 |
1811509011 | Kavya Parasa | Student in an Organized Health Care Education/Training Program | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-08-19 |
1326657792 | Pelin D Strebler | Clinical Neuropsychologist | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-07-30 |
1508483082 | Chi Nguyen Benson | Student in an Organized Health Care Education/Training Program | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-06-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427615699 | Aiat Radwan | Student in an Organized Health Care Education/Training Program | 11937 U Highway 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-23 |
1174170781 | Sanmitha Sundaram Kota | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-08-20 |
1952960437 | Parashar Trivedi | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-06-10 |
1659937506 | Sandhya Devaraj | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-16 |
1972169381 | Mary Kaar | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-13 |
1396301701 | Joshua Penrod | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-13 |
1558927962 | Ijeoma Nwaigwe | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-13 |
1487210894 | David Pollard | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-13 |
1477119873 | Aparna Kanuparthy | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-13 |
1275199689 | Prithvi Muddana | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-13 |
Find all providers in zip 75708 |
Taxonomy Code | 225X00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Occupational Therapist |
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972121622 | Mikayla Black | Occupational Therapist | 11802 Fm 724, Tyler, TX 75704-3430 | 2020-07-09 |
1104306182 | Ann Hollingsworth Jones | Occupational Therapist | 8710 Pleasant Hill Cir, Tyler, TX 75707-6332 | 2018-08-18 |
1730693011 | Therainc, Inc | Occupational Therapist | 1918 E Front St, Tyler, TX 75702-8511 | 2017-11-25 |
1184077299 | Cyrus Ridenour | Occupational Therapist | 700 S Bois D Arc Ave, Tyler, TX 75701-1503 | 2016-07-13 |
1780075275 | Jerod Gordon | Occupational Therapist | 1808 Blossom Ln, Tyler, TX 75701-8237 | 2015-02-05 |
1053724377 | Jamie Nutt | Occupational Therapist | 5181 Elaine Dr, Tyler, TX 75703-8331 | 2014-06-04 |
1356646822 | Vikas Gupta | Occupational Therapist | 610 Huntwick Ln, Tyler, TX 75703-5099 | 2011-01-14 |
1457539066 | Katrina Deanne Hornsby | Occupational Therapist | 100 E Ferguson St Ste 1204, Tyler, TX 75702-5700 | 2008-02-06 |
1902011521 | Catherine Ann Barone | Occupational Therapist | 730 S Chilton Ave, Tyler, TX 75701-1576 | 2007-05-14 |
1700902137 | Jan A Mobley | Occupational Therapist | 3200 Troup Hwy Ste 333, Tyler, TX 75701-8343 | 2007-03-21 |
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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.