Individual provider Active NPI

Joshua Samuel Heinrich, PT, DPT

  • Physical Therapist
  • Boerne, TX
National Provider Identifier
1104509439
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1379358 Issued in TX
Practice address
905 N Main St Ste 103
Boerne, TX 78006-1699
Phone
(830) 816-5333
NPI assigned
Aug 11, 2023
Last updated
Aug 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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 1379358 TX Primary

Addresses

Primary practice location

905 N Main St Ste 103
Boerne, TX 78006-1699

Mailing address

3522 Fallen Leaf
San Antonio, TX 78230-3825
Phone (206) 422-7380

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231205002040 TX Practitioner - Physical Therapist in Private Practice 7618326406 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Texas Medical Branch at Galveston, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Luna Care Physical Therapy LLCGroup PAC ID 0648692723, 271 clinicians
Foundation Physical Therapy PLLCGroup PAC ID 0648428987, 10 clinicians

Practice addresses (Care Compare)

180 State St
Suite 225
Southlake, TX 76092-7632
Phone (866) 525-3175

23127 Ih 10
Suite 203
San Antonio, TX 78257-2506
Phone (210) 698-6333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1379358TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Physical Therapy, PLLC Physical Therapist CurrentSince Sep 26, 2023 Accepting new patients
Texas Luna Care Physical Therapy LLC Physical Therapist CurrentSince Aug 9, 2024 Accepting new patients

Locations

905 N Main St
Ste 103
Boerne, TX 78006
Phone (830) 816-5333

23127 W Interstate 10
Ste 203
San Antonio, TX 78257
Phone (210) 698-6332

180 State St
Ste 225
Southlake, TX 76092
Phone (682) 429-7066

Organizations & group practices 3

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": "1691712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1104509439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3522 FALLEN LEAF",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782303825",
            "telephone_number": "206-422-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 N MAIN ST STE 103",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780061699",
            "telephone_number": "830-816-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINRICH",
        "first_name": "JOSHUA",
        "middle_name": "SAMUEL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-11",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1379358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.