Heidi Pangborn

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501005887 Issued in MI

Practice address

18285 E 10 Mile Rd
Ste.100
Roseville, MI 48066-5802

Phone

(586) 774-5774

NPI assigned

Jul 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• HC Rehab Solutions LLC

  • Occupational Therapist
  • Plymouth, MI
  • NPI 1417995986

  Physical Therapist

  NPD (past)
• In Home Rehab,LLC

  • Physical Therapist
  • Roseville, MI
  • NPI 1942248422
  NPD (past)
• Kovacek Peterson Management LLC

  • Physical Therapist
  • Frankenmuth, MI
  • NPI 1598771339
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1114940426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 HOLLYWOOD AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18285 E 10 MILE RD",
            "address_2": "STE.100",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480665802",
            "telephone_number": "586-774-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANGBORN",
        "first_name": "HEIDI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501005887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "650H229330",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin O Osowa, M.D.
• Timothy Gregory Ossman Jr., MA, SCL, LPC
• Gretchen A Ouweleen
• Majeed A Paduvana, MD
• Adam Louis Palleschi, D.C., M.S., B.S.
• Carl Papa, D.D.S.
• Park Family Dental, P.C.
• Joung Ho Park, MD
• Wayne Park, LMT
• Lindsey Parks-Plaza

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

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