Heather Marie Goutermont, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8187 Issued in MN

Practice address

45 Banks Blvd
Silver Bay, MN 55614-1337

Phone

(218) 353-8682

Fax

(218) 226-6336

NPI assigned

Oct 10, 2008

Last updated

Mar 18, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bodies in Balance of Two Harbors, Inc.

  dba Bodies in Balance Inc.

  • Physical Therapist
  • Two Harbors, MN
  • NPI 1700082484
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458259200000",
    "number": "1003067893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 BANKS BLVD",
            "city": "SILVER BAY",
            "state": "MN",
            "postal_code": "556141337",
            "telephone_number": "218-353-8682",
            "fax_number": "218-226-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 BANKS BLVD",
            "city": "SILVER BAY",
            "state": "MN",
            "postal_code": "556141337",
            "telephone_number": "218-353-8682",
            "fax_number": "218-226-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUTERMONT",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-10",
        "last_updated": "2016-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "8187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paulina Chalupsky, NP
• Thomas Matthew Clifford, M.D.
• Julee M Dehart, PHARMACY TECHNICIAN
• Joann Kelly Dingmann, CPHT
• Firstsolutions (SuperiorHealth Pharmacy)
• Harvest Moon Mental Health Services
• Ada M. Helleloid, MD
• Lacy Rae Kaushagen, DSP
• Jacob Keller, PHARMD
• Lake County Ambulance (Silver Bay Ambulance)

• Physical Therapist in Silver Bay, MN
• Providers in Silver Bay, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.