Active NPI
Jeffrey James Heigl, LMP
- Massage Therapist
- Vancouver, WA
National Provider Identifier
1164726337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60188606
- Practice address
- 11600 SE Mill Plain Blvd
Ste 3J
Vancouver, WA 98684-5083 - Phone
- (360) 253-6674
- NPI assigned
- Jan 3, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60188606 | WA | Primary |
Addresses
Primary practice location
11600 SE Mill Plain Blvd
Ste 3J
Vancouver, WA 98684-5083
Mailing address
11600 SE Mill Plain Blvd
Ste 3J
Vancouver, WA 98684-5083
Phone (360) 253-6674
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 |
|---|---|---|---|
| MA60188606 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael B. Pettet, DC, PS | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294012800000",
"number": "1164726337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11600 SE MILL PLAIN BLVD",
"address_2": "STE 3J",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986845083",
"telephone_number": "360-253-6674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11600 SE MILL PLAIN BLVD",
"address_2": "STE 3J",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986845083",
"telephone_number": "360-253-6674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIGL",
"first_name": "JEFFREY",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-03",
"last_updated": "2011-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60188606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.