Heffernan Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT7288 Issued in FL

Legal business name

HEFFERNAN PHYSICAL THERAPY INC

Practice address

2335 State Ave Ste E
Panama City, FL 32405-4379

Phone

(850) 763-1992

Fax

(850) 769-4808

NPI assigned

Dec 15, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Rebecca Heffernan, PTNPI 1568565422

Title

Physical Therapist

Phone

(850) 769-1992

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Rebecca Heffernan, PT

  • Physical Therapist
  • Panama City, FL
  • NPI 1568565422
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1013210871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 STATE AVE STE E",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054379",
            "telephone_number": "850-763-1992",
            "fax_number": "850-769-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 STATE AVE STE E",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054379",
            "telephone_number": "850-763-1992",
            "fax_number": "850-769-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEFFERNAN PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "HEFFERNAN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "850-769-1992",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT7288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Shaffer MD PA
• Emily Marie Heaton, PA-C
• Samantha Heaton, NP
• Tia Hedman
• Heather Ann Hedstrom, M.D.
• Rebecca Heffernan, PT
• Amjad Heidami, D.M.D.
• Rami M. Heidami, DMD
• Callie Heilig, APRN
• Ashley Heinze, APRN, FNP-C

• Physical Therapist in Panama City, FL
• Providers in Panama City, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.