Individual provider Active NPI

Heather L Previll, PT, DPT

  • Physical Therapist
  • Delray Beach, FL
National Provider Identifier
1063504827
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT24843 Issued in FL
Practice address
15127 S Jog Rd Ste 210
Delray Beach, FL 33446-1251
Phone
(561) 498-1098
NPI assigned
Sep 29, 2006
Last updated
Feb 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT38543 CA
Physical Therapist 225100000X PT24843 FL Primary

Addresses

Primary practice location

15127 S Jog Rd Ste 210
Delray Beach, FL 33446-1251

Mailing address

15127 S Jog Rd Ste 210
Delray Beach, FL 33446-1251
Phone (561) 498-1098

Other practice location 1

16 Sand Hill Ct
Jamesburg, NJ 08831-1195
Phone (732) 501-7339

Other practice location 2

7631 Wyoming St Ste 107
Westminster, CA 92683-3904
Phone (714) 373-4555

Other practice location 3

2001 NW 62nd St Ste 101
Fort Lauderdale, FL 33309-1865
Phone (754) 200-4822

Other practice location 4

2121 10th Ave N
Lake Worth Beach, FL 33461-3345
Phone (561) 530-4602

Other names 1

  • Mrs. Heather L Previll Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210216000762 FL Practitioner - Physical Therapist in Private Practice 3173589074 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Boca Raton, FL 33434
Phone (201) 246-6277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38543CAMDGeneral Practice Dentistry
PT38543CAMDPhysical Therapist
PT24843FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Orthopedic Rehabilitation LLC Physical Therapist CurrentSince Jan 1, 2022 Accepting new patients
Easy Reach Chiropractic LLC Single Specialty CurrentSince Dec 1, 2020 Accepting new patients
Rhodes Physical Therapy of Ca Apc Single Specialty CurrentSince Aug 17, 2025 Accepting new patients
MCRC Physical Therapy, LLC Single Specialty PastSince May 19, 2008 Accepting new patients

Locations

1700 Adams Ave
Ste 201
Costa Mesa, CA 92626
Phone (714) 556-1600

2001 NW 62nd St
Ste 101
Fort Lauderdale, FL 33309
Phone (561) 530-4602

2121 10th Ave N
Lake Worth Beach, FL 33461
Phone (561) 530-4602

111 Dean Dr
Ste 1N
Tenafly, NJ 07670
Phone (201) 402-7802

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1063504827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15127 S JOG RD STE 210",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334461251",
            "telephone_number": "561-498-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15127 S JOG RD STE 210",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334461251",
            "telephone_number": "561-498-1098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Sand Hill Ct",
            "address_purpose": "LOCATION",
            "city": "Jamesburg",
            "state": "NJ",
            "postal_code": "088311195",
            "country_code": "US",
            "telephone_number": "732-501-7339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7631 Wyoming St Ste 107",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CA",
            "postal_code": "926833904",
            "country_code": "US",
            "telephone_number": "714-373-4555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 NW 62nd St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333091865",
            "country_code": "US",
            "telephone_number": "754-200-4822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2121 10th Ave N",
            "address_purpose": "LOCATION",
            "city": "Lake Worth Beach",
            "state": "FL",
            "postal_code": "334613345",
            "country_code": "US",
            "telephone_number": "561-530-4602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PREVILL",
        "first_name": "HEATHER",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT38543",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT24843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "PREVILL",
            "middle_name": "L",
            "prefix": "MRS.",
            "credential": "PT, DPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.