Organization Active NPI

Heinen Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1235658261
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
4762 Issued in OK
Legal business name
HEINEN PHYSICAL THERAPY, PC
Practice address
7710 N May Ave
Oklahoma City, OK 73116
Phone
(405) 831-7468
NPI assigned
Sep 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Authorized official

Name
Dr. Brice Heinen, PT, DPTNPI 1346676442
Title
Ceo
Phone
(405) 831-7468

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 4762 OK Primary

Addresses

Primary practice location

7710 N May Ave
Oklahoma City, OK 73116

Mailing address

2916 Cornwall PL
Oklahoma City, OK 73120-4306
Phone (405) 831-7468

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180126002182 OK Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7810257524 Receives reassigned benefits from 4 practitioners
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

7712 N May Ave
Oklahoma City, OK 73116
Phone (405) 256-8699

3000 United Founders Blvd
Ste 141S
Oklahoma City, OK 73112
Phone (405) 256-8699

7710 N May Ave
Oklahoma City, OK 73116
Phone (405) 256-8699

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1235658261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 CORNWALL PL",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731204306",
            "telephone_number": "405-831-7468",
            "fax_number": "405-242-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 N MAY AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73116",
            "telephone_number": "405-831-7468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEINEN PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-11",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "HEINEN",
        "authorized_official_first_name": "BRICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-831-7468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OK",
            "license": "4762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.