Meggen Smiley Heisserer

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1142198 Issued in TX

Practice address

731 E Southlake Blvd
Suite 150
Southlake, TX 76092-6377

Phone

(817) 442-8600

Fax

(817) 442-8603

NPI assigned

Mar 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Meggen Beth Smiley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Affiliated Physical Therapy and Rehabilitation Clinic Inc

  • Orthopedic Physical Therapist
  • Cedar Park, TX
  • NPI 1821077991
  NPD (past)
• Affiliated Physical Therapy and Rehabilitation Clinic, Inc.

  • Occupational Therapist
  • Pflugerville, TX
  • NPI 1245210152
  NPD (past)

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397088000000",
    "number": "1245209808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2650",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750198650",
            "telephone_number": "972-724-2400",
            "fax_number": "972-724-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 E SOUTHLAKE BLVD",
            "address_2": "SUITE 150",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926377",
            "telephone_number": "817-442-8600",
            "fax_number": "817-442-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEISSERER",
        "first_name": "MEGGEN",
        "middle_name": "SMILEY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2014-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1142198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGGEN",
            "last_name": "SMILEY",
            "middle_name": "BETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heart and Vascular Medical Center of North Texas PLLC
• Lana M Heath, FNP
• Hebert Southlake Chiropractic
• Alejandra Hebron, PT, DPT
• Lesley Cole Hedlund, OT
• Scott Helms, RBT
• Brenda Gomez Hendrix-Smith, LCSW
• Jaycee Hendrix
• Katherine Margaret Theresa Henry, APRN, FNP-C
• Alysen B Hensley

• Physical Therapist in Southlake, TX
• Providers in Southlake, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.