Individual provider Active NPI

Penny Suzanne Heinz, LPTA,LMT,NASM-CPT

  • Physical Therapy Assistant
  • Sun City Center, FL
National Provider Identifier
1184047052
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA15676 Issued in FL
Practice address
1010 American Eagle Blvd
Sun City Center, FL 33573-5284
Phone
(813) 634-1668
Fax
(813) 634-9578
NPI assigned
Jan 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA15676 FL Primary
Massage Therapist 225700000X MA31177 FL

Addresses

Primary practice location

1010 American Eagle Blvd
Sun City Center, FL 33573-5284

Mailing address

1010 American Eagle Blvd
Sun City Center, FL 33573-5284
Phone (813) 634-1668

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

LicenseStateTypeSpecialty
PTA15676FLMDPhysical Therapy Assistant
MA31177FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1184047052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 AMERICAN EAGLE BLVD",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735284",
            "telephone_number": "813-634-1668",
            "fax_number": "813-634-9578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 AMERICAN EAGLE BLVD",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735284",
            "telephone_number": "813-634-1668",
            "fax_number": "813-634-9578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINZ",
        "first_name": "PENNY",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "LPTA,LMT,NASM-CPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA15676",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA31177",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City Center, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.