Micah L Heeringa, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00009405 Issued in WA

Practice address

1405 E Edison Ave
Sunnyside, WA 98944-1622

Phone

(509) 837-7400

Fax

(509) 837-5068

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sunnyside Physical and Sports TherapyGroup PAC ID 2466482112, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Sunnyside Physical & Sports Therapy

  • Physical Therapist
  • Sunnyside, WA
  • NPI 1578589131
  Medicare reassignment Care Compare group NPD
• RMTS Zillah LLC

  • Physical Therapist
  • Zillah, WA
  • NPI 1255779732
  Medicare reassignment NPD
• Sunnyside Community Hospital Association

  • Rural Health Clinic/Center
  • Sunnyside, WA
  • NPI 1407289184
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730592000000",
    "number": "1033137757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989440090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 E EDISON AVE",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989441622",
            "telephone_number": "509-837-7400",
            "fax_number": "509-837-5068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "513 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Zillah",
            "state": "WA",
            "postal_code": "989539432",
            "country_code": "US",
            "telephone_number": "509-829-5230",
            "fax_number": "509-829-5269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEERINGA",
        "first_name": "MICAH",
        "middle_name": "L",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2024-11-03",
        "certification_date": "2024-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00009405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8424673",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marlee Harris, DMD, RDN
• Linda Ann Hawley, PMHNP
• Carolyn A Hazzard
• Health & Wellness Alliance
• Heartlinks
• Justin Wayne Heiden, D.D,S.
• Sara Herrera
• Tiffanie Ann Hester, L.M.P.
• David Alan Hicks, RPH
• Michael G Hollenberg, M.S.P.T., CERT M.D.T

• Physical Therapist in Sunnyside, WA
• Providers in Sunnyside, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.