Eric Hefferon, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8663PT Issued in AZ

Practice address

19420N 59TH Ave E500
Glendale, AZ 85308-6881

Phone

(623) 208-7575

Fax

(866) 281-9664

NPI assigned

Oct 22, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Impact Physical Therapy 3 LLCGroup PAC ID 2668988171, 7 clinicians

Impact Physical Therapy LLCGroup PAC ID 4789978735, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Impact Physical Therapy 3 LLC

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1194517359
  Medicare reassignment Care Compare group NPD Authorized official
• Impact Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Peoria, AZ
  • NPI 1215319413

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Impact Physical Therapy - 2 LLC

  • Physical Therapy Clinic/Center
  • Scottsdale, AZ
  • NPI 1245895739
  Medicare reassignment NPD Authorized official
• Physical Medicine of Arizona, LLC

  • Physical Medicine & Rehabilitation Physician
  • Chandler, AZ
  • NPI 1740529536
  NPD

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1295061430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19420N 59TH AVE E500",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086881",
            "telephone_number": "602-639-1066",
            "fax_number": "866-281-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19420N 59TH AVE E500",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086881",
            "telephone_number": "623-208-7575",
            "fax_number": "866-281-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFFERON",
        "first_name": "ERIC",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-22",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "8663PT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan A Heck, F.N.P
• Jacob Hedges, OD
• Martha K Heer, CSA
• Tonya Heermans, LMSW
• Kathleen Mary Heffernan, LPC
• Tamara Hefferon
• Patricia Heidenreich
• Evelyn Heigh-Rosen, D.P.M.
• Crystal Marie Heiligenthal, PA
• William Mark Heinz, DDS

• Physical Therapist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.

Verify at the official NPI Registry.