NPIMap

Organization Active NPI

Heights Physical Therapy LLC

  • Physical Therapist
  • Lake City, CO
National Provider Identifier
1033872973
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HEIGHTS PHYSICAL THERAPY LLC
Practice address
700 N Henson St
Lake City, CO 81235-5134
Phone
(970) 641-3298
Fax
(970) 641-7369
NPI assigned
Oct 18, 2021
Last updated
Oct 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Authorized official

Name
Kaylynne B. Ezzell, PTNPI 1154504165
Title
Owner
Phone
(970) 641-3298

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

700 N Henson St
Lake City, CO 81235-5134

Mailing address

700 N Main St Unit B
Gunnison, CO 81230-2423
Phone (970) 641-3298

National Provider Directory

National Provider Directory
Tax ID family
Heights Performance and Rehab Spec2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1033872973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N MAIN ST UNIT B",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302423",
            "telephone_number": "970-641-3298",
            "fax_number": "970-641-7369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N HENSON ST",
            "city": "LAKE CITY",
            "state": "CO",
            "postal_code": "812355134",
            "telephone_number": "970-641-3298",
            "fax_number": "970-641-7369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIGHTS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "EZZELL",
        "authorized_official_first_name": "KAYLYNNE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-641-3298",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.