Mary M Heerdt, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4420 Issued in NV

Practice address

5301 Longley LN Ste 81
Reno, NV 89511-1868

Phone

(916) 905-6378

Fax

(916) 672-0114

NPI assigned

Jun 13, 2017

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 names 1

• Maggie Heerdt Other name

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Group practices

Kime Performance Nevada LLCGroup PAC ID 0042620783, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kime Performance Nevada LLC

  • Physical Therapy Clinic/Center
  • Reno, NV
  • NPI 1053918185
  Medicare reassignment Care Compare group NPD
• Mikla Dunning Physical Therapy Systems, PC

  • Physical Therapy Clinic/Center
  • El Dorado Hills, CA
  • NPI 1619334992
  NPD

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1144750100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4990 HILLSDALE CIR STE 100",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957625770",
            "telephone_number": "916-905-6378",
            "fax_number": "916-672-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 LONGLEY LN STE 81",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111868",
            "telephone_number": "916-905-6378",
            "fax_number": "916-672-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEERDT",
        "first_name": "MARY",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "0130264",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "4420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAGGIE",
            "last_name": "HEERDT",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Betty Hedrick
• Stephen Randall Hedrick
• Emily Hedstrom
• Melissa Macey Heemsath, APRN, FNP-C
• Sean Heeran
• Kelly K Heffley
• Marta L Heffner, APN
• Rebecca Heil
• Allie Hein
• Dianna Louise Hein, APRN

• Physical Therapist in Reno, NV
• Providers in Reno, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.