Active NPI 1174769525 Individual Practitioner Female Practitioner

Beverly Hendricks , COTA, C

Specialist • Fullerton, CA

Professional Overview & Biography Verified Profile Summary

Beverly Hendricks, COTA, C is a registered healthcare professional specializing in Specialist in Fullerton, CA. Practice services are available at 1612 E UNION AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1612 E Union Ave

Fullerton, CA 928312936

Telephone 7146394990

Associated Practice Facility / Clinic

🏢 Providence Speech & Hearing Center Facility NPI 1215993704

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Fullerton, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 40.0 Yrs

State Avg: 38.0 Yrs

Regional Practice Density

19 Specialists

Practicing in Fullerton, CA (6446 Statewide)

Telehealth Adoption Rate

5.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CA 1074989

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Ayren Dreyer , SLP

Speech-Language Pathologist

NPI 1003251786

Speech-Language Pathologist

Janelle Cubas , BA

Speech-Language Pathologist

NPI 1003390170

Bachelor of Arts

Yomna Elsiddig

Speech-Language Pathologist

NPI 1033596507

Tracy Morillo , CCC-SLP

Speech-Language Pathologist

NPI 1043549645

Speech-Language Pathologist (Certificate of Clinical Competence)

Darcy Healey , OT

Occupational Therapist

NPI 1053609164

Occupational Therapist

Nisreen Alkhayer

Audiologist

NPI 1053712828

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active January 06, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location January 06, 2009

Registered at 1612 E UNION AVE, FULLERTON, CA 928312936 (Tel: 7146394990)

📍

Updated Business Mailing Address January 06, 2009

Registered at 1612 E UNION AVE, FULLERTON, CA 928312936 (Tel: 7146394990)

👤

Provider Name / Credentials Updated January 06, 2009

Recorded as BEVERLY HENDRICKS, COTA/C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2009

Specialist (License #1074989 in CA)

🟢

Initial NPI Registration & Enumeration January 06, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174769525

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 06, 2009

Last Update: January 06, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1612 E Union Ave

Fullerton, CA 928312936

Phone: 7146394990

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.