Active NPI
Karin Heidelberger, P.T.
- Physical Therapist
- Marquette, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501006215
- Practice address
- 1001 M 28 E
Suite 8
Marquette, MI 49855-9322 - Phone
- (906) 273-1525
- NPI assigned
- Feb 26, 2015
- Last updated
- Feb 26, 2015
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501006215 | MI | Primary |
Addresses
Primary practice location
1001 M 28 E
Suite 8
Marquette, MI 49855-9322
Mailing address
1001 M28 East
Suite 8
Marquette, MI 49849
Phone (906) 273-1525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1455 W Fair Ave
Marquette, MI 49855-2654
Phone (906) 226-0574
820 Carp River LN
Suite 2
Ishpeming, MI 49849-3187
Phone (906) 204-7400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501006215 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marquette Rehabilitation & Sports Medicine Center | Physical Therapist | Current | Accepting new patients |
| Superior Active Partners LLC | Physical Therapist | Current | Accepting new patients |
| DLP Marquette Physician Practices Inc | Past | Accepting new patients | |
| Northern Michigan Physical Therapy | Physical Therapist | Past | Accepting new patients |
Locations
111 W Division St
Ishpeming, MI 49849
Phone (906) 204-7400
820 Carp River Ln
#2
Ishpeming, MI 49849
Phone (906) 204-7400
820 Carp River Ln
Ste 2
Ishpeming, MI 49849
Phone (906) 204-7400
1455 W Fair Ave
Marquette, MI 49855
Phone (906) 226-0574
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Marquette, MI
- NPI 1376771287
Physical Therapist
-
dba Active Physical Therapy - Ishpeming
- Physical Therapy Clinic/Center
- Ishpeming, MI
- NPI 1982045001
Physical Therapist
-
dba Marquette General Emergency Medicine
- Emergency Medicine Physician
- Marquette, MI
- NPI 1366790727
-
- Physical Therapy Clinic/Center
- Marquette, MI
- NPI 1558646109
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424908800000",
"number": "1275925323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 M28 EAST",
"address_2": "SUITE 8",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "49849",
"telephone_number": "906-273-1525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 M 28 E",
"address_2": "SUITE 8",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498559322",
"telephone_number": "906-273-1525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIDELBERGER",
"first_name": "KARIN",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-26",
"last_updated": "2015-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501006215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.