Individual provider Active NPI

Joshua David Heiller

  • Physical Therapist
  • Chandler, AZ
National Provider Identifier
1073011961
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
013581 Issued in AZ
Practice address
5590 W Chandler Blvd Ste B4
Chandler, AZ 85226
Phone
(480) 786-4969
Fax
(480) 786-5118
NPI assigned
Jan 25, 2018
Last updated
Sep 23, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 013581 AZ Primary

Addresses

Primary practice location

5590 W Chandler Blvd Ste B4
Chandler, AZ 85226

Mailing address

5590 W Chandler Blvd Ste B4
Chandler, AZ 85226-3697
Phone (480) 786-4969

Other practice location 1

9364 E Raintree Dr Ste 103
Scottsdale, AZ 85260-2200

Other identifiers 1

IdentifierTypeStateIssuer
376073MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180530003345 AZ Practitioner - Physical Therapist in Private Practice 4486919115 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
360 Physical Therapy LLCGroup PAC ID 1355237645, 87 clinicians

Practice addresses (Care Compare)

1076 W Chandler Blvd
Suite 103
Chandler, AZ 85224-5223
Phone (480) 821-1997

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013581AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
360 Physical Therapy, LLC Physical Therapist CurrentSince Sep 5, 2023 Accepting new patients
Figueroa Physical Therapy Physical Therapist CurrentSince Apr 1, 2020 Accepting new patients
Foundational Physical Therapy LLC Physical Therapist CurrentSince Sep 1, 2019 Accepting new patients
Affinity Physical Therapy LLC CurrentSince Apr 1, 2020 Accepting new patients
360 Physical Therapy LLC Physical Therapist CurrentSince Sep 5, 2023 Accepting new patients
Olympic Physical Therapy, Inc Physical Therapist CurrentSince Apr 1, 2020 Accepting new patients
360 Physical Therapy, LLC Current Accepting new patients

Locations

6213 S Miller Rd
Ste 103
Buckeye, AZ 85326
Phone (623) 386-2660

1076 W Chandler Blvd
Ste 103
Chandler, AZ 85224
Phone 4808211997116

5590 W Chandler Blvd
Ste 4
Chandler, AZ 85226
Phone (480) 786-4969

8811 N 51st Ave
Ste 102
Glendale, AZ 85302
Phone (623) 915-2726

21083 N John Wayne Pkwy
Ste C104
Maricopa, AZ 85139
Phone (520) 233-7555

10861 E Baseline Rd
Ste A105
Mesa, AZ 85209
Phone (520) 231-1360

1300 N 12th St
Ste 506
Phoenix, AZ 85006
Phone (602) 230-4478

1331 N 7th St
Ste 100
Phoenix, AZ 85006
Phone (602) 222-2234

4050 E Cotton Center Blvd
Ste 18
Phoenix, AZ 85040
Phone (480) 653-8200

21576 S Ellsworth Loop Rd
Ste 108
Queen Creek, AZ 85142
Phone (602) 737-2275

Organizations & group practices 7

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": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1073011961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5590 W CHANDLER BLVD STE B4",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263697",
            "telephone_number": "480-786-4969",
            "fax_number": "480-786-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5590 W CHANDLER BLVD STE B4",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85226",
            "telephone_number": "480-786-4969",
            "fax_number": "480-786-5118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9364 E Raintree Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852602200",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEILLER",
        "first_name": "JOSHUA",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-25",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "013581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376073",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; 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.