Active NPI
Heather Dian Eggleston, LMT
- Mechanotherapist
- St Augustine, FL
National Provider Identifier
1275787962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- MA49735
- Practice address
- 40 Charlotte St
Saint Augustine, FL 32084-3646 - Phone
- (904) 829-0590
- Fax
- (904) 824-0790
- NPI assigned
- Nov 8, 2008
- Last updated
- Nov 8, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MA49735 | FL | Primary |
Addresses
Primary practice location
40 Charlotte St
Saint Augustine, FL 32084-3646
Mailing address
40 Charlotte St
Saint Augustine, FL 32084-3646
Phone (904) 829-0590
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA49735 | FL | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226102400000",
"number": "1275787962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 CHARLOTTE ST",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320843646",
"telephone_number": "904-829-0590",
"fax_number": "904-824-0790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 CHARLOTTE ST",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320843646",
"telephone_number": "904-829-0590",
"fax_number": "904-824-0790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGGLESTON",
"first_name": "HEATHER",
"middle_name": "DIAN",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-08",
"last_updated": "2008-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "FL",
"license": "MA49735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Augustine, FL
- Edward Henry Scarpitti, MD PA
- Franchesca Edwards
- Joseph R Edwards, PT, DPT
- Kimberly Ann Edwards, PA-C
- Madison Edwards, RBT
- El- Salawy Medical PA (Hyperbaric Nocatee)
- Elaine S. Sadkowski, LCSW, LLC (58 Winged Elm Court)
- David Anthony Eldridge, D.P.T.
- Elevate Mental Health and Wellness LLC
- Elevate Physical Therapy & Wellness
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.