Active NPI
Heather Hantak, PT
- Physical Therapist
- Paducah, KY
National Provider Identifier
1144619727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 006836
- Practice address
- 4016 Primrose PL
Paducah, KY 42001-4674 - Phone
- (972) 898-4247
- Fax
- (270) 933-1095
- NPI assigned
- Jan 20, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 006836 | KY | Primary |
Addresses
Primary practice location
4016 Primrose PL
Paducah, KY 42001-4674
Mailing address
4016 Primrose PL
Paducah, KY 42001-4674
Phone (972) 898-4247
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006836 | KY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485129600000",
"number": "1144619727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4016 PRIMROSE PL",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420014674",
"telephone_number": "972-898-4247",
"fax_number": "270-933-1095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4016 PRIMROSE PL",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420014674",
"telephone_number": "972-898-4247",
"fax_number": "270-933-1095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANTAK",
"first_name": "HEATHER",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-20",
"last_updated": "2017-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "006836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.