KATHERINE HENDRICKS (DPT) – Physical Therapist, NPI 1366990103

KATHERINE HENDRICKS (DPT) is a healthcare provider. based in Omaha, Nebraska. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials DPT. They hold a License No. 3632 (NE). The NPI Number for KATHERINE HENDRICKS (DPT) is 1366990103

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE HENDRICKS (DPT)
NPI
1366990103
Phone
(402) 330-3211
Address
13336 Industrial Rd
Enumeration Date
21 September 2016
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4025024678
Graduation Year
2016 (10 years ago)
PAC ID
1951698323
Group Practice PAC ID
6406881127
Professional Enrollment ID
I20240210000217
Address ID
NE681231089BE11511STXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

68 PHYSICAL MEDICINE AND REHABILITATION in NE

Provider Addresses for KATHERINE HENDRICKS (DPT)

  • 13336 Industrial Rd

    Suite 105

    Omaha, NE 681371124

    Phone: (402) 330-3211

    Fax: (402) 330-5970

    Type: Location

  • South 42nd Street, Bellevue, Sarpy County, Nebraska, 68133, United States

    BELLEVUE, NE 681231089

    Phone: (402) 502-4678

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160928002419IPhysical Therapist In Private PracticeNETBD
I20240210000217IPhysical Medicine And RehabilitationNETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68137)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406881127View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE

Reviews

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Frequently asked questions

Does KATHERINE HENDRICKS (DPT) have a public NPI I can cite?
Public records show KATHERINE HENDRICKS (DPT) under NPI 1366990103.
Is KATHERINE HENDRICKS (DPT) currently accepting referrals based on NPI status?
Registry metadata lists KATHERINE HENDRICKS (DPT) as active.
What type of care does KATHERINE HENDRICKS (DPT) provide?
KATHERINE HENDRICKS (DPT)'s profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to KATHERINE HENDRICKS (DPT)?
The directory associates KATHERINE HENDRICKS (DPT) with Omaha, Nebraska. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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