Active NPI
Susan Marie Heintz, P.T.
- Physical Therapist
- Dawsonville, GA
National Provider Identifier
1164616322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3104
- Practice address
- 6002 Highway 53
E. #100
Dawsonville, GA 30534 - Phone
- (706) 265-8790
- NPI assigned
- Aug 30, 2007
- Sex
- Female
- 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 Therapist | 225100000X | 3104 | GA | Primary |
Addresses
Primary practice location
6002 Highway 53
E. #100
Dawsonville, GA 30534
Mailing address
6002 Highway 53
E. #100
Dawsonville, GA 30534
Phone (706) 265-8790
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 |
|---|---|---|---|
| 3104 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188432000000",
"number": "1164616322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6002 HIGHWAY 53",
"address_2": "E. #100",
"city": "DAWSONVILLE",
"state": "GA",
"postal_code": "30534",
"telephone_number": "706-265-8790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6002 HIGHWAY 53",
"address_2": "E. #100",
"city": "DAWSONVILLE",
"state": "GA",
"postal_code": "30534",
"telephone_number": "706-265-8790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINTZ",
"first_name": "SUSAN",
"middle_name": "MARIE",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-30",
"last_updated": "2007-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "3104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dawsonville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.