Active NPI
Erica Heater, PT, DPT, CLT-LANA
- Physical Therapist
- Logansport, IN
National Provider Identifier
1306294772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05012159A
- Practice address
- 1101 Michigan Ave
Logansport, IN 46947-1596 - Phone
- (574) 753-1380
- Fax
- (574) 753-1589
- NPI assigned
- May 26, 2016
- Sex
- Female
- 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 | 05012159A | IN | Primary |
Addresses
Primary practice location
1101 Michigan Ave
Logansport, IN 46947-1596
Mailing address
1101 Michigan Ave
Logansport, IN 46947-1596
Phone (574) 753-1380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05012159A | IN | MD | Physical Therapist |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Logansport, IN
- NPI 1942317656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640649600000",
"number": "1306294772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 MICHIGAN AVE",
"city": "LOGANSPORT",
"state": "IN",
"postal_code": "469471596",
"telephone_number": "574-753-1380",
"fax_number": "574-753-1589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 MICHIGAN AVE",
"city": "LOGANSPORT",
"state": "IN",
"postal_code": "469471596",
"telephone_number": "574-753-1380",
"fax_number": "574-753-1589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEATER",
"first_name": "ERICA",
"credential": "PT, DPT, CLT-LANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-26",
"last_updated": "2021-12-28",
"certification_date": "2021-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05012159A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Logansport, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.