Heidi Lynne Hathaway, MS, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

019046 Issued in NY

Practice address

124 US Route 11
Central Square, NY 13036-9760

Phone

(315) 668-0123

Fax

(315) 668-0124

NPI assigned

Jan 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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 NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kuss Physical Therapy PLLC

  • Physical Therapist
  • Central Square, NY
  • NPI 1265590137
  Medicare reassignment NPD

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316096100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4704 SALINA ST",
            "city": "PULASKI",
            "state": "NY",
            "postal_code": "131422187",
            "telephone_number": "315-298-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 US ROUTE 11",
            "city": "CENTRAL SQUARE",
            "state": "NY",
            "postal_code": "130369760",
            "telephone_number": "315-668-0123",
            "fax_number": "315-668-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATHAWAY",
        "first_name": "HEIDI",
        "middle_name": "LYNNE",
        "credential": "MS, PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "019046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Marie Greco, RN
• Evan Scott Gross, DDS
• Bridget Marie Grosso, OPTICIAN
• Carleen Elizabeth Halsey
• Makalah Hann, LMFT
• Tina Kay Head, PH.D.
• Madison Nicole Hitchcock, LMT
• Michael Thomas Holcomb, MD
• Melissa D House
• Diana Hubel, RN

• Physical Therapist in Central Square, NY
• Providers in Central Square, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.