MRS. JENNIFER D HENDRICKS P.T.
NPI 1740434828
Physical Therapist - Pediatrics in Syracuse, NY

Q: What is Jennifer Hendricks's NPI number?

The NPI number for Jennifer Hendricks is 1740434828. It was assigned to this individual provider in the NPPES registry on November 16, 2008. The provider is also known as Ms. Jennifer D Butera P.T..

Q: What is Jennifer Hendricks's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Active since November 16, 2008Accepts Medicare Assignment

171 INTREPID LN, SYRACUSE, NY 13205(315) 437-4689(315) 437-4698 Get Directions Write a Review

NPPES record last updated: August 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Jennifer D Hendricks P.t. NPPES

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

MRS. JENNIFER D HENDRICKS P.T. (NPI 1740434828) is an individual pediatrics provider in Syracuse, New York, licensed in New York (018457-1) and active in the NPI registry since November 2008. She is a graduate of Other (1998).

NPPES Registry Identity

NPI1740434828

Entity TypeIndividualFemale

Primary Taxonomy2251P0200X

Provider Legal NameMRS. JENNIFER D HENDRICKSCredential: P.T.

Location Address171 INTREPID LNSyracuse, NY 13205-2548

Mailing AddressP.o. Box 26044Christiansted, VI 00824 · (315) 437-4689 · Fax (315) 437-4698

Phone(315) 437-4689

Fax(315) 437-4698

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateNovember 16, 2008

Last NPPES UpdateAugust 17, 2022

NPPES CertifiedAugust 17, 2022

✔ NPI 1740434828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code2251P0200X

License✔ Licensed in NY · 018457-1

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.

171 INTREPID LN, Syracuse, NY 13205

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Other Names 1

Former Name (1)Ms. Jennifer D Butera P.t.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jennifer D Hendricks P.t. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951726215

PECOS Enrollment IDI20200803002882

Other Providers at the Same Location NPPES 20

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

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