Active NPI
Seth David Heidlebaugh, PT, DPT
- Physical Therapist
- Annapolis, MD
National Provider Identifier
1306225859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25477
- Practice address
- 116 Defense Hwy
101
Annapolis, MD 21401-7027 - Phone
- (410) 897-0120
- NPI assigned
- May 28, 2015
- 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 | 25477 | MD | Primary |
Addresses
Primary practice location
116 Defense Hwy
101
Annapolis, MD 21401-7027
Mailing address
116 Defense Hwy
101
Annapolis, MD 21401-7027
Phone (410) 897-0120
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 |
|---|---|---|---|
| 25477 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432771200000",
"number": "1306225859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 DEFENSE HWY",
"address_2": "101",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017027",
"telephone_number": "410-897-0120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 DEFENSE HWY",
"address_2": "101",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017027",
"telephone_number": "410-897-0120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIDLEBAUGH",
"first_name": "SETH",
"middle_name": "DAVID",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-28",
"last_updated": "2015-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "25477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.