Active NPI
Renne Heinrich
- Physical Therapist
- Safford, AZ
National Provider Identifier
1306152590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2014
- Practice address
- 1600 S 20TH Ave BLDG E
Safford, AZ 85546-4011 - Phone
- (928) 651-5359
- Fax
- (928) 348-3868
- NPI assigned
- Aug 25, 2010
- Sex
- Male
- 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 | 2014 | AZ | Primary |
Addresses
Primary practice location
1600 S 20TH Ave BLDG E
Safford, AZ 85546-4011
Mailing address
1600 S 20TH Ave BLDG E
Safford, AZ 85546-4011
Phone (928) 651-5359
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014 | AZ | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282694400000",
"number": "1306152590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 S 20TH AVE BLDG E",
"city": "SAFFORD",
"state": "AZ",
"postal_code": "855464011",
"telephone_number": "928-651-5359",
"fax_number": "928-348-3868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 S 20TH AVE BLDG E",
"city": "SAFFORD",
"state": "AZ",
"postal_code": "855464011",
"telephone_number": "928-651-5359",
"fax_number": "928-348-3868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINRICH",
"first_name": "RENNE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-25",
"last_updated": "2010-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "2014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Safford, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.