Individual provider Active NPI

Jeffrey R. Heintz, MS, PT, ATC, CSCS

  • Orthopedic Physical Therapist
  • East Hartford, CT
National Provider Identifier
1013000322
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
002748 Issued in CT
Practice address
400 Main St
Medical Dept., Ms 124-10
East Hartford, CT 06108-0968
Phone
(860) 565-1089
Fax
(860) 565-6348
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 002748 CT Primary

Addresses

Primary practice location

400 Main St
Medical Dept., Ms 124-10
East Hartford, CT 06108-0968

Mailing address

1 W Dayton Hill Rd
Wallingford, CT 06492-5307
Phone (860) 565-1089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
002748CTMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013000322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W DAYTON HILL RD",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064925307",
            "telephone_number": "860-565-1089",
            "fax_number": "860-565-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MAIN ST",
            "address_2": "MEDICAL DEPT., MS 124-10",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061080968",
            "telephone_number": "860-565-1089",
            "fax_number": "860-565-6348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINTZ",
        "first_name": "JEFFREY",
        "middle_name": "R.",
        "credential": "MS, PT, ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CT",
            "license": "002748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.