Active NPI
Janel Davis-Heitzmann, PT
- Physical Therapist
- Dearborn, MI
National Provider Identifier
1164735841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501011652
- Practice address
- 3361 Greenfield Rd
Dearborn, MI 48120-1212 - Phone
- (313) 593-1703
- Fax
- (313) 593-1939
- NPI assigned
- Jul 22, 2010
- 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 | 5501011652 | MI | Primary |
Addresses
Primary practice location
3361 Greenfield Rd
Dearborn, MI 48120-1212
Mailing address
3361 Greenfield Rd
Dearborn, MI 48120-1212
Phone (313) 593-1703
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-Rehab, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatric Occupational Therapist
- Farmington Hills, MI
- NPI 1184038341
-
- Physical Therapy Clinic/Center
- Dearborn, MI
- NPI 1427056696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279756800000",
"number": "1164735841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3361 GREENFIELD RD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481201212",
"telephone_number": "313-593-1703",
"fax_number": "313-593-1939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3361 GREENFIELD RD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481201212",
"telephone_number": "313-593-1703",
"fax_number": "313-593-1939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS-HEITZMANN",
"first_name": "JANEL",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-22",
"last_updated": "2010-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501011652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.