Active NPI
Heide Comm, DPT
- Physical Therapist
- Folsom, CA
National Provider Identifier
1114202066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10907
- Practice address
- 705 Gold Lake Dr Ste 350
Folsom, CA 95630 - Phone
- (916) 939-6800
- NPI assigned
- Oct 11, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10907 | CO | Primary |
Addresses
Primary practice location
705 Gold Lake Dr Ste 350
Folsom, CA 95630
Mailing address
6423 Rampart Dr
Carmichael, CA 95608-1103
Phone (707) 328-2920
Other practice location 1
7799 Sabino Ln
Castle Rock, CO 80108-6107
Phone (720) 445-5439
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10907 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burger Physical Therapy Services Inc | Current | Accepting new patients | |
| Burger Physical Therapy and Rehabilitation Agency Inc | Past | Accepting new patients | |
| Body Concepts, Inc. | Past | Accepting new patients |
Locations
1301 E Bidwell St
Ste 201
Folsom, CA 95630
7200 S Land Park Dr
Ste 300
Sacramento, CA 95831
Phone (916) 391-5010
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 and National Provider Directory roles.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Folsom, CA
- NPI 1356352082
-
- Physical Therapy Clinic/Center
- Folsom, CA
- NPI 1912309279
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Folsom, CA
- NPI 1457333908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530230400000",
"number": "1114202066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6423 RAMPART DR",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956081103",
"telephone_number": "707-328-2920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 GOLD LAKE DR STE 350",
"city": "FOLSOM",
"state": "CA",
"postal_code": "95630",
"telephone_number": "916-939-6800"
}
],
"practiceLocations": [
{
"address_1": "7799 Sabino Ln",
"address_purpose": "LOCATION",
"city": "Castle Rock",
"state": "CO",
"postal_code": "801086107",
"country_code": "US",
"telephone_number": "720-445-5439",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COMM",
"first_name": "HEIDE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-11",
"last_updated": "2018-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "10907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.