Heidi Sue Harrell, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501005724 Issued in MI

Practice address

1381 Timberlane Dr
Saint Joseph, MI 49085-8705

Phone

(269) 921-2890

Fax

(269) 428-2535

NPI assigned

Dec 8, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Heidi Smith Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Rehabilitation Services Mi LLCGroup PAC ID 2769819960, 84 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Fox Rehabilitation Services Mi LLC

  • Physical Therapist
  • Canton, MI
  • NPI 1790324648
  Medicare reassignment Care Compare group NPD
• Southwestern Medical Clinic PC

  • Specialist
  • Niles, MI
  • NPI 1518022144
  NPD (past)

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291766400000",
    "number": "1295038511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381 TIMBERLANE DR",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858705",
            "telephone_number": "269-921-2890",
            "fax_number": "269-428-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381 TIMBERLANE DR",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858705",
            "telephone_number": "269-921-2890",
            "fax_number": "269-428-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "HEIDI",
        "middle_name": "SUE",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-08",
        "last_updated": "2010-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501005724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "SMITH",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Happy Home Care, Inc.
• Sierra Hardin, LLPC
• Halley Harmon
• Kimberly Nicole Harmon
• Amelia Harper
• Barbara E Harrison, NP
• Mark S Harrison, MD
• Russell Harrison, PT, DPT
• Makenna Hartline
• Brian M Hartman, D.C.

• Physical Therapist in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.

Verify at the official NPI Registry.