Daniel Himmerick

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10730 Issued in MN

Practice address

775 Prairie Center Dr Ste 250
Eden Prairie, MN 55344-7334

Phone

(952) 944-5314

Fax

(952) 944-0092

NPI assigned

Jun 22, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498089600000",
    "number": "1063932952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 SADDLEBROOK CURV",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553179025",
            "telephone_number": "701-720-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 PRAIRIE CENTER DR STE 250",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447334",
            "telephone_number": "952-944-5314",
            "fax_number": "952-944-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIMMERICK",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-22",
        "last_updated": "2017-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "MN",
            "license": "10730",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MN",
            "license": "10730",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "10730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Hicks, MT-BC, E-RYT
• Kacee Jean Higgins, SLPD, CCC-SLP
• Barry Scott Highbloom, M.D.
• Courtney Jo Hilleshiem
• Richard Hills, P.T., D.C.
• Mary Ellen Himple, PT
• Christine Hinkley
• Adrienne Lendsey Hinton Diaz, NP
• Selena Marcanthia Hinton, M.D.
• Christian William Hintz, DPT

• Physical Therapist in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2017; 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.