Active NPI
Carrie Heckman, PTA
- Physical Therapy Assistant
- West Lake Hills, TX
National Provider Identifier
1215537014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2121897
- Practice address
- 5000 Bee Caves Rd Ste 200
West Lake Hills, TX 78746-5254 - Phone
- (512) 328-8912
- NPI assigned
- Oct 29, 2020
- 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 Therapy Assistant | 225200000X | 2121897 | TX | Primary |
Addresses
Primary practice location
5000 Bee Caves Rd Ste 200
West Lake Hills, TX 78746-5254
Mailing address
5000 Bee Caves Rd Ste 200
West Lake Hills, TX 78746-5254
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | N/A |
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 |
|---|---|---|---|
| 2121897 | TX | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Easter Seals Central Texas Inc | Past | Accepting new patients | |
| Three Lakes Physical Therapy LLC | Past | Accepting new patients | |
| Thomajan Foot Care PA | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/8247/brand/1/csg/1/fhir/r4
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.
-
- Early Intervention Provider Agency
- Austin, TX
- NPI 1013991017
-
- Foot & Ankle Surgery Podiatrist
- West Lake Hills, TX
- NPI 1003836404
-
- Physical Therapist
- West Lake Hills, TX
- NPI 1972976405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606089600000",
"number": "1215537014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 BEE CAVES RD STE 200",
"city": "WEST LAKE HILLS",
"state": "TX",
"postal_code": "787465254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 BEE CAVES RD STE 200",
"city": "WEST LAKE HILLS",
"state": "TX",
"postal_code": "787465254",
"telephone_number": "512-328-8912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HECKMAN",
"first_name": "CARRIE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-29",
"last_updated": "2020-11-23",
"certification_date": "2020-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2121897",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "N/A",
"affiliation": "N",
"address_1": "5000 Bee Caves Rd Ste 200",
"city": "West Lake Hills",
"state": "TX",
"country_code": "US",
"postal_code": "787465254",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Lake Hills, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.