Individual provider Active NPI

Heidi A Dunigan, P.T.

  • Physical Therapist
  • Lakewood, WA
National Provider Identifier
1083839336
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61439047 Issued in WA
Practice address
8828 Eagle Point Loop Rd SW
Lakewood, WA 98498-1057
Phone
(949) 400-4415
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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 22353 CA
Physical Therapist 225100000X PT61439047 WA Primary

Addresses

Primary practice location

8828 Eagle Point Loop Rd SW
Lakewood, WA 98498-1057

Mailing address

8828 Eagle Point Loop Rd SW
Lakewood, WA 98498-1057
Phone (949) 400-4415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22353CAMDDentist
PT61439047WAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1083839336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8828 EAGLE POINT LOOP RD SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984981057",
            "telephone_number": "949-400-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8828 EAGLE POINT LOOP RD SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984981057",
            "telephone_number": "949-400-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNIGAN",
        "first_name": "HEIDI",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "22353",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61439047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.