Heidi Lynn Thorndyke

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

0016949 Issued in IL

Practice address

1450 Castle Manor Dr
Lincoln, IL 62656-6006

Phone

(217) 735-1507

NPI assigned

Nov 21, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Charles S Ovitsky PC

  • Optometrist
  • Chicago, IL
  • NPI 1568647220
  NPD (past)
• St. Clara'S Manor

  • Skilled Nursing Facility
  • Lincoln, IL
  • NPI 1346231198
  NPD (past)

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1053957233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9368 E 2000 NORTH RD",
            "city": "CARLOCK",
            "state": "IL",
            "postal_code": "617259567",
            "telephone_number": "309-303-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 CASTLE MANOR DR",
            "city": "LINCOLN",
            "state": "IL",
            "postal_code": "626566006",
            "telephone_number": "217-735-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNDYKE",
        "first_name": "HEIDI",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "0016949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lincoln",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1450 Castle Manor Dr",
            "city": "Lincoln",
            "state": "IL",
            "country_code": "US",
            "postal_code": "626566006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tazwood Mental Health Center, Inc.
• Tazwood Mental Health Center, Inc.
• Deborah Tedrick
• The Center for Youth and Family Solutions
• The Hearing Aid Center
• Nichole Tinker
• Kristina Tipton
• Toofan Medical Holdings, LTD
• Toofan Medical Holdings, LTD
• Jessica Trader, PHARMD

• Physical Therapy Assistant in Lincoln, IL
• Providers in Lincoln, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.