Diane Kay Heidegger, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

CP018927T Issued in NC

Practice address

111 S Railroad Ave
Dunn, NC 28334-4853

Phone

(832) 257-4154

NPI assigned

Apr 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1124241088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 LENNOX DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035134",
            "telephone_number": "832-257-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S RAILROAD AVE",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344853",
            "telephone_number": "832-257-4154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDEGGER",
        "first_name": "DIANE",
        "middle_name": "KAY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1075919",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "CP018927T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "CP018927T",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angie Delynn Ryan Hathaway
• Sanford William Hawkins-Rivers, M.D.
• Mary Hawley, RN, WOCN
• Kyle Hayes, DMD
• Heavenly Home Health Care LLC
• Lathan-Steele Henderson, DO
• Richard Bruce Henry, LPTA
• Mary Margaret Tripp Hether, FNP-C
• Sean Hicks
• Holistic Options for Mental Excellence, PLLC

• Physical Therapist in Dunn, NC
• Providers in Dunn, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.