NPIMap

Individual provider Active NPI

Janet Heathman, P.T.

  • Physical Therapist
  • Palm Desert, CA
National Provider Identifier
1306121306
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
18980 Issued in CA
Practice address
36919 Cook St
Suite 102
Palm Desert, CA 92211-6069
Phone
(760) 340-3255
Fax
(760) 452-5335
NPI assigned
Oct 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2011

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 18980 CA Primary

Addresses

Primary practice location

36919 Cook St
Suite 102
Palm Desert, CA 92211-6069

Mailing address

36919 Cook St
Suite 102
Palm Desert, CA 92211-6069
Phone (760) 340-3255

Other names 1

  • Janet Blomgren Heathman Former name

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
18980CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1306121306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36919 COOK ST",
            "address_2": "SUITE 102",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116069",
            "telephone_number": "760-340-3255",
            "fax_number": "760-452-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36919 COOK ST",
            "address_2": "SUITE 102",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116069",
            "telephone_number": "760-340-3255",
            "fax_number": "760-452-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATHMAN",
        "first_name": "JANET",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-21",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "18980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANET",
            "last_name": "HEATHMAN",
            "middle_name": "BLOMGREN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.