Active NPI
Erik John Heller, DPT
- Physical Therapist
- Woodbury, NJ
National Provider Identifier
1013979830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01200700
- Practice address
- 414 Tatum St
Woodbury, NJ 08096-3499 - Phone
- (856) 848-3880
- Fax
- (856) 848-4895
- NPI assigned
- Apr 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01200700 | NJ | Primary |
| Physical Therapist | 225100000X | PT017870 | PA | |
| Physical Therapist | 225100000X | J1-0001999 | DE |
Addresses
Primary practice location
414 Tatum St
Woodbury, NJ 08096-3499
Mailing address
77 S Woodland Ave
Woodbury, NJ 08096-2755
Phone (856) 251-1812
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J1-0001999 | DE | MD | Physical Therapist |
| PT017870 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268006400000",
"number": "1013979830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 S WOODLAND AVE",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080962755",
"telephone_number": "856-251-1812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 TATUM ST",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080963499",
"telephone_number": "856-848-3880",
"fax_number": "856-848-4895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELLER",
"first_name": "ERIK",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2010-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01200700",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT017870",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0001999",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.