Maggie E Heretick, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305203281 Issued in VA

Practice address

7858 Shrader Rd
Richmond, VA 23294

Phone

(804) 270-1305

Fax

(804) 273-9294

NPI assigned

Jul 4, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184654915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7858 SHRADER RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23294",
            "telephone_number": "804-270-1305",
            "fax_number": "804-273-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7858 SHRADER RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23294",
            "telephone_number": "804-270-1305",
            "fax_number": "804-273-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERETICK",
        "first_name": "MAGGIE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305203281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00199901",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "139048",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "393097",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clifford T Hepper, MD
• Charlotte Nathalie Heppner, MD
• Ashley Herbert, PA-C
• Jennifer Lynn Cecilione Herbst, PHD, LCP
• Matthew David Herczyk, MD
• Heritage Adult Day Care Services, Inc.
• Heritage Living Inc
• Heritage Living Inc. (Heritage Living Cares)
• Andrew Joseph Herman, M.D.
• Kiana Herman, RD

• Physical Therapist in Richmond, VA
• Providers in Richmond, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.