Active NPI
Christopher Patrick Hecker, P.T.A.
- Physical Therapy Assistant
- Ottumwa, IA
National Provider Identifier
1114915659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 00279
- Practice address
- South East Iowa Physical Therpay
115 S Washington St
Ottumwa, IA 52501-2531 - Phone
- (641) 682-8171
- Fax
- (641) 682-9054
- NPI assigned
- Oct 10, 2005
- Sex
- Male
- 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 Therapy Assistant | 225200000X | 00279 | IA | Primary |
Addresses
Primary practice location
South East Iowa Physical Therpay
115 S Washington St
Ottumwa, IA 52501-2531
Mailing address
South East Iowa Physical Therpay
115 S Washington St
Ottumwa, IA 52501-2531
Phone (641) 682-8171
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6-6534 | Other | IA | BCBS GROUP PROVIDER NUMBE |
| 0665349 | Medicaid | IA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00279 | IA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John T. Voyles and Or Heather K. Voyles | Physical Therapy Assistant | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Ottumwa, IA
- NPI 1568465789
Physical Therapy Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1114915659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SOUTH EAST IOWA PHYSICAL THERPAY",
"address_2": "115 S WASHINGTON ST",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525012531",
"telephone_number": "641-682-8171",
"fax_number": "641-682-9054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SOUTH EAST IOWA PHYSICAL THERPAY",
"address_2": "115 S WASHINGTON ST",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525012531",
"telephone_number": "641-682-8171",
"fax_number": "641-682-9054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HECKER",
"first_name": "CHRISTOPHER",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "P.T.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-10",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IA",
"license": "00279",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP PROVIDER NUMBE",
"identifier": "6-6534",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0665349",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ottumwa, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.