DUSTIN BLAKE HENDRICK DPT - NPI 1073133385 - Physical Therapist in Lebanon, PA

Q: What is Dustin Hendrick's NPI number?

The NPI number for Dustin Hendrick is 1073133385. It was assigned to this individual provider in the NPPES registry on April 16, 2020.

Q: What is Dustin Hendrick's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

Q: When was this NPI record last updated?

The NPPES record for Dustin Hendrick was last updated on April 16, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dustin Blake Hendrick Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DUSTIN BLAKE HENDRICK DPT (NPI 1073133385) is an individual geriatrics provider in Lebanon, Pennsylvania, licensed in Pennsylvania (PT028190) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1073133385

Entity TypeIndividualMale

Primary Taxonomy2251G0304X

Provider Legal NameDUSTIN BLAKE HENDRICKCredential: DPT

Location Address590 S 5TH AVELebanon, PA 17042-9195

Mailing Address701 Reading Ave Apt 412West Reading, PA 19611-1284 · (434) 774-6720

Phone(717) 274-0421

Sole ProprietorNo

Enumeration DateApril 16, 2020

NPPES CertifiedApril 16, 2020

✔ NPI 1073133385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251G0304X

License✔ Licensed in PA · PT028190

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.

590 S 5TH AVE, Lebanon, PA 17042

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Other Identifiers 1

OtherPT028190PA · Physical Therapist State License

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JANET IRENE CHICKA OT

Occupational Therapist