Individual provider Active NPI

Timothy Noel Heiman, M.S.P.T.

  • Physical Therapist
  • Columbus, OH
National Provider Identifier
1285716969
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT007403 Issued in OH
Practice address
1000 E Broad St
Columbus, OH 43205-1381
Phone
(614) 257-0462
Fax
(614) 257-0433
NPI assigned
Oct 20, 2006
Last updated
Jun 20, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT007403 OH Primary

Addresses

Primary practice location

1000 E Broad St
Columbus, OH 43205-1381

Mailing address

PO Box 685
Lewis Center, OH 43035-0685
Phone (614) 257-0462

Other identifiers 3

IdentifierTypeStateIssuer
2604631MedicaidOH
000000479948OtherOHANTHEM BLUE CROSS
510443099027OtherOHCARESOURCE

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT007403OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Encompass Therapy LLC Physical Therapist Current Accepting new patients

Locations

1000 E Broad St
Columbus, OH 43205
Phone (614) 252-3636

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213920000000",
    "number": "1285716969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 685",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430350685",
            "telephone_number": "614-257-0462",
            "fax_number": "614-257-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432051381",
            "telephone_number": "614-257-0462",
            "fax_number": "614-257-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIMAN",
        "first_name": "TIMOTHY",
        "middle_name": "NOEL",
        "name_prefix": "Mr.",
        "credential": "M.S.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT007403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2604631",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000479948",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "510443099027",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

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

Verify at the official NPI Registry.