✓ Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist (225100000X) ✓ HHS OIG Screened Clear 🩺 Entity Type 1 (Individual)

KAYLYNN JO HENDRIX, DPT (NPI #1003415928)

Physical Therapist • LEXINGTON, MO • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1003415928
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
225100000X (CMS 65)
Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist
Box 32 Service Location & ZIP+4
1110 S 24TH ST, LEXINGTON, MO, 64067-2318
✓ 9-Digit EDI 837 ZIP+4 (64067-2318)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1003415928 (KAYLYNN JO HENDRIX, DPT) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1003415928 (NPI-1 Individual Practitioner)
Provider / Legal NameKAYLYNN JO HENDRIX, DPT
Plain-English SpecialtyLicensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist
NUCC Code: 225100000X (Physical Therapist)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address1110 S 24TH ST, LEXINGTON, MO, 64067-2318
Practice Telephone / FaxTel: (660) 259-4611
Administrative Mailing Address104 JACOBS ST APT 3, RICHMOND, MO, 64085-1501
Enumeration & Last SyncEnumerated: 2020-10-21 | CMS Record Updated: 2020-10-21

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1110 S 24TH ST, LEXINGTON, MO, 64067-2318

🗺️ Open in Google Maps 🏥 More Providers in LEXINGTON

Plain-English Taxonomy & CMS Crosswalk (225100000X)

What Does Taxonomy Code 225100000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225100000X translates to:
"Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 65 (Physical Therapist in Private Practice)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Physical Therapist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (KAYLYNN JO HENDRIX, DPT)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
225100000X — Physical Therapist
Plain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist
State: MO | License: 2020004382 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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