Individual provider Active NPI

Janet Hieber

  • Physical Therapy Assistant
  • La Quinta, CA
National Provider Identifier
1265808521
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
AT4441 Issued in CA
Practice address
47647 Caleo Bay Dr
Suite 130
La Quinta, CA 92253-8854
Phone
(760) 771-9054
Fax
(760) 771-9057
NPI assigned
Aug 20, 2015
Last updated
Aug 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X AT4441 CA Primary

Addresses

Primary practice location

47647 Caleo Bay Dr
Suite 130
La Quinta, CA 92253-8854

Mailing address

47647 Caleo Bay Dr
Suite 130
La Quinta, CA 92253-8854
Phone (760) 771-9054

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

LicenseStateTypeSpecialty
AT4441CAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440028800000",
    "number": "1265808521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47647 CALEO BAY DR",
            "address_2": "SUITE 130",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922538854",
            "telephone_number": "760-771-9054",
            "fax_number": "760-771-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47647 CALEO BAY DR",
            "address_2": "SUITE 130",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922538854",
            "telephone_number": "760-771-9054",
            "fax_number": "760-771-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIEBER",
        "first_name": "JANET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-20",
        "last_updated": "2015-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT4441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Quinta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; 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.