Active NPI
Denise Heisner, LMT
- Massage Therapist
- Bloomingdale, IL
National Provider Identifier
1215682935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 227021606
- Practice address
- 1 Tiffany PT
Bloomingdale, IL 60108-2936 - Phone
- (847) 404-2228
- NPI assigned
- Feb 22, 2022
- Last updated
- Feb 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 227021606 | IL | Primary |
Addresses
Primary practice location
1 Tiffany PT
Bloomingdale, IL 60108-2936
Mailing address
13912 Redmond Dr
Huntley, IL 60142-6389
Phone (847) 404-2228
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 |
|---|---|---|---|
| 227021606 | IL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645488000000",
"number": "1215682935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13912 REDMOND DR",
"city": "HUNTLEY",
"state": "IL",
"postal_code": "601426389",
"telephone_number": "847-404-2228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 TIFFANY PT",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082936",
"telephone_number": "847-404-2228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEISNER",
"first_name": "DENISE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-22",
"last_updated": "2022-02-22",
"certification_date": "2022-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IL",
"license": "227021606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomingdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.