Paul T Heinzmann, P.T., M.B.A.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501002327 Issued in MI

Practice address

4480 Mount Hope Rd
Suite a
Williamsburg, MI 49690-9209

Phone

(231) 938-2425

Fax

(231) 938-2453

NPI assigned

Jun 10, 2008

Last updated

Dec 20, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration

Practice roles

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.

• Northwood Physical Therapy Limited Partnership

  • Physical Therapist
  • Williamsburg, MI
  • NPI 1609987981
  NPD (past)

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1114187523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480 MOUNT HOPE RD",
            "address_2": "SUITE A",
            "city": "WILLIAMSBURG",
            "state": "MI",
            "postal_code": "496909209",
            "telephone_number": "231-938-2425",
            "fax_number": "231-938-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4480 MOUNT HOPE RD",
            "address_2": "SUITE A",
            "city": "WILLIAMSBURG",
            "state": "MI",
            "postal_code": "496909209",
            "telephone_number": "231-938-2425",
            "fax_number": "231-938-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINZMANN",
        "first_name": "PAUL",
        "middle_name": "T",
        "credential": "P.T., M.B.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501002327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "30046",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "30814",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1649216144",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1114187523",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ez Able, LLC
• Grand Ledge Counseling Center PC
• Cara C Gruber, MS PT
• Joel Yale Hechtman, BS
• Emily Rosann Hedley, PA-C
• Shawn Michael Husband, RPH
• In Motion Center for Chiropractic Care & Exercise Therapy. PC
• Independent Medical Evaluations, PC
• Paul Alan Jensen, R.PH.
• Angela McAlpine Keas, D.C.

• Physical Therapist in Williamsburg, MI
• Providers in Williamsburg, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; 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.