Active NPI
Beth Heise, PT
- Physical Therapist
- Iowa City, IA
National Provider Identifier
1215064712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 01275
- Practice address
- 2401 Towncrest Dr
Iowa City, IA 52240-6631 - Phone
- (319) 354-2429
- Fax
- (319) 354-6100
- NPI assigned
- Feb 28, 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 | 01275 | Primary |
Addresses
Primary practice location
2401 Towncrest Dr
Iowa City, IA 52240-6631
Mailing address
2401 Towncrest Dr
Iowa City, IA 52240-6631
Phone (319) 354-2429
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0665463 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7205 E Southern Ave
Suite 111
Mesa, AZ 85209-2791
Phone (480) 832-9308
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MDM Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Progressive Rehab Chiropractic, L.L.C. | Past | Accepting new patients | |
| Progressive Rehabilitation Associates L.L.C. | Physical Therapist | Past | Accepting new patients |
Locations
7205 E Southern Ave
Ste 111
Mesa, AZ 85209
Phone (480) 832-9308
Organizations & group practices 3
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.
-
- Physical Therapist
- Mesa, AZ
- NPI 1730251133
-
- Chiropractor
- Tipton, IA
- NPI 1467967919
-
- Physical Therapist
- Iowa City, IA
- NPI 1851462865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215064712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 TOWNCREST DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522406631",
"telephone_number": "319-354-2429",
"fax_number": "319-354-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 TOWNCREST DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522406631",
"telephone_number": "319-354-2429",
"fax_number": "319-354-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEISE",
"first_name": "BETH",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": "01275",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0665463",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Iowa City, IA
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.