Organization Active NPI

Heit Rehabilitation & Optimal Health Center S C

  • Sports Physician Chiropractor
  • Rockford, IL
National Provider Identifier
1013027440
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
042617472 Issued in IL
Legal business name
HEIT REHABILITATION & OPTIMAL HEALTH CENTER S C
Practice address
7445 E State St
Rockford, IL 61108-2678
Phone
(815) 399-5860
Fax
(815) 399-6107
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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

Authorized official

Name
Dr. Robert Kiel Heit, D. C.
Title
Clinic Director
Phone
(815) 399-5860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NS0005X 042617472 IL Primary

Addresses

Primary practice location

7445 E State St
Rockford, IL 61108-2678

Mailing address

7445 E State St
Rockford, IL 61108-2678
Phone (815) 399-5860

Other identifiers 1

IdentifierTypeStateIssuer
1032067OtherILBLUE CROSS / BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1013027440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7445 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082678",
            "telephone_number": "815-399-5860",
            "fax_number": "815-399-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7445 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082678",
            "telephone_number": "815-399-5860",
            "fax_number": "815-399-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIT REHABILITATION & OPTIMAL HEALTH CENTER S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "HEIT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "KIEL",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "815-399-5860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "IL",
            "license": "042617472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD",
            "identifier": "1032067",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; 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.