Kathleen Amanda Heenan, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

6912 Asphalt Ave
Tampa, FL 33614-3625

Phone

(813) 773-8580

NPI assigned

Aug 2, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Royal Palm Beach Rehab, CorpGroup PAC ID 3476683335, 62 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Royal Palm Beach Rehab, Corp

  • Chiropractor
  • Royal Palm Beach, FL
  • NPI 1861724783

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Royal Palm Beach Rehab, Corp

  • Chiropractor
  • Miami, FL
  • NPI 1891668182

  Physical Therapist

  NPD

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1245060466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 DOGWOOD FLOWER LN APT 101",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335736885",
            "telephone_number": "571-299-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6912 ASPHALT AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143625",
            "telephone_number": "813-773-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEENAN",
        "first_name": "KATHLEEN",
        "middle_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliana Heckman
• Sandra Hector, PHN
• Belal Heddaya, DDS, MS
• Kathleen Hedden, MSN, ACNP-BC
• Dustin Lee Hedges, PHARM. D.
• Julia Heer
• Jan Susan Heers-Porter
• Sanjay Gopal Hegde, M.D.
• Brittny Hegenauer
• Jamie Heggedal, LMT

• Physical Therapist in Tampa, FL
• Providers in Tampa, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.