Individual provider Active NPI

Heather Koopman, DPT

  • Physical Therapist
  • Jacksonville, NC
National Provider Identifier
1073069795
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P16484 Issued in NC
Practice address
2000 Brabham Ave Ste 100
Jacksonville, NC 28546-0202
Phone
(910) 332-3800
Fax
(910) 251-0421
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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 P16484 NC Primary

Addresses

Primary practice location

2000 Brabham Ave Ste 100
Jacksonville, NC 28546-0202

Mailing address

2000 Brabham Ave Ste 100
Jacksonville, NC 28546-0202
Phone (910) 332-3800

Other names 1

  • Heather Horwath Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161214001059 NC Practitioner - Physical Therapist in Private Practice 7113207929 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergeortho PAGroup PAC ID 0749188894, 726 clinicians

Practice addresses (Care Compare)

120 William Penn PLZ
Durham, NC 27704-2150
Phone (919) 220-5255

Merit-based Incentive Payment System (MIPS)

Final score
89.07 of 100Reported as group
Quality
85.94
Promoting interoperability
100
Improvement activities
40
Cost
77.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Activcare Physical Therapy, LLC Physical Therapist CurrentSince Oct 1, 2016 Accepting new patients
Hampstead Physical Therapy Physical Therapist CurrentSince May 21, 2018 Accepting new patients
Emergeortho PA Physical Therapist CurrentSince Sep 28, 2020 Accepting new patients
Emergeortho PA CurrentSince Sep 28, 2020 Accepting new patients
Burgaw Medical Center, P.C. PastSince Mar 11, 2025 Accepting new patients
Professional Physical Therapy & Rehabilitation, LLC PastSince Oct 7, 2013 Accepting new patients

Locations

209 US Highway 117 N
Burgaw, NC 28425
Phone (800) 359-3053

166 Springbrook Ave
Ste 201
Clayton, NC 27520
Phone (919) 535-8461

120 William Penn Plz
Durham, NC 27704
Phone (919) 281-1836

25 N Hampstead Village Dr
Hampstead, NC 28443
Phone (910) 270-6026

2660 NC Highway 210 E
Ste 102
Hampstead, NC 28443
Phone (910) 803-2424

2000 Brabham Ave
Ste 100
Jacksonville, NC 28546

308 Brynn Marr Rd
Jacksonville, NC 28546
Phone (910) 478-9701

Interoperability endpoints

  • Direct secure messaging: heather.koopman.1@847.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1073069795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 BRABHAM AVE STE 100",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285460202",
            "telephone_number": "910-332-3800",
            "fax_number": "910-251-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 BRABHAM AVE STE 100",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285460202",
            "telephone_number": "910-332-3800",
            "fax_number": "910-251-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOPMAN",
        "first_name": "HEATHER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P16484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "HORWATH",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.