Individual provider Active NPI

Heather A Kreizenbeck, P.T.

  • Physical Therapist
  • Bellingham, WA
National Provider Identifier
1215935341
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00008542 Issued in WA
Practice address
306 36TH St
Bellingham, WA 98225-6540
Phone
(360) 647-0444
Fax
(360) 650-1497
NPI assigned
Jul 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00008542 WA Primary

Addresses

Primary practice location

306 36TH St
Bellingham, WA 98225-6540

Mailing address

306 36TH St
Bellingham, WA 98225-6580
Phone (360) 647-0444

Other identifiers 2

IdentifierTypeStateIssuer
8321267MedicaidWA
0152198OtherWALABOR AND INDUSTRIES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100817000223 WA Practitioner - Physical Therapist in Private Practice 8729112461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Bellevue Hospital Medical College, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellingham Physical Therapy LLCGroup PAC ID 7618873498, 11 clinicians

Practice addresses (Care Compare)

306 36TH St
Bellingham, WA 98225-6580
Phone (360) 647-0444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT00008542WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bellingham Physical Therapy, PLLC Physical Therapist CurrentSince Jun 1, 2001 Accepting new patients

Locations

306 36th St
Bellingham, WA 98225
Phone (360) 647-0444

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1215935341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 36TH ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982256580",
            "telephone_number": "360-647-0444",
            "fax_number": "360-650-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 36TH ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982256540",
            "telephone_number": "360-647-0444",
            "fax_number": "360-650-1497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREIZENBECK",
        "first_name": "HEATHER",
        "middle_name": "A",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8321267",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0152198",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.

Verify at the official NPI Registry.