Individual provider Active NPI

Heide Comm, DPT

  • Physical Therapist
  • Folsom, CA
National Provider Identifier
1114202066
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10907 Issued in CO
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

Updated by the provider on Jun 29, 2018

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 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

Enrollment IDStateProvider typePAC IDDetails
I20190103002687 CA Practitioner - Physical Therapist in Private Practice 9032455548 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10907COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Burger Physical Therapy Services Inc CurrentSince Jul 1, 2022 Accepting new patients
Burger Physical Therapy and Rehabilitation Agency Inc Past Accepting new patients
Body Concepts, Inc. PastSince Jul 23, 2018 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.

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.

Verify at the official NPI Registry.