NPIMap

Individual provider Active NPI

Heidi Ann Linnebach, M.S.P.T.

  • Physical Therapist
  • Woodburn, OR
National Provider Identifier
1114120045
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
225100000X Issued in OR
Practice address
1359 N Pacific Hwy
Woodburn, OR 97071-3617
Phone
(503) 982-0232
Fax
(503) 982-5637
NPI assigned
Jun 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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 225100000X OR Primary

Addresses

Primary practice location

1359 N Pacific Hwy
Woodburn, OR 97071-3617

Mailing address

410 Mill St SE # 1045
Salem, OR 97301-3601
Phone (503) 364-5313

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
225100000XORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Capitol Physical and Hand Therapy, Inc Physical Therapist Past Accepting new patients
Capitol Physical Therapy, Inc Physical Therapist Past Accepting new patients

Organizations & group practices 2

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": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1114120045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 MILL ST SE # 1045",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013601",
            "telephone_number": "503-364-5313",
            "fax_number": "503-364-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1359 N PACIFIC HWY",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970713617",
            "telephone_number": "503-982-0232",
            "fax_number": "503-982-5637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINNEBACH",
        "first_name": "HEIDI",
        "middle_name": "ANN",
        "credential": "M.S.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "225100000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodburn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.