Kevin R Hejtmanek, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004102 Issued in IA

Practice address

1301 W Main St
Lake City, IA 51449-1585

Phone

(712) 464-3171

Fax

(712) 464-3269

NPI assigned

Sep 10, 2007

Sex

Male

Sole proprietor

No

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 NE

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prairie Orthopaedic and Plastic Surgery PCGroup PAC ID 0345344818, 23 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.31 of 100Reported as group

Quality

90

Promoting interoperability

100

Improvement activities

40

Cost

84.36

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Prairie Orthopaedic & Plastic Surgery, P.C.

  • Orthopaedic Surgery Physician
  • Lincoln, NE
  • NPI 1639206147

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Prairie Orthopaedic & Plastic Surgery, PC

  • Durable Medical Equipment & Medical Supplies
  • Lincoln, NE
  • NPI 1174243489
  NPD

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1316132608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W MAIN ST",
            "city": "LAKE CITY",
            "state": "IA",
            "postal_code": "514491585",
            "telephone_number": "712-464-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W MAIN ST",
            "city": "LAKE CITY",
            "state": "IA",
            "postal_code": "514491585",
            "telephone_number": "712-464-3171",
            "fax_number": "712-464-3269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 E Lake St",
            "address_purpose": "LOCATION",
            "city": "Rockwell City",
            "state": "IA",
            "postal_code": "505791711",
            "country_code": "US",
            "telephone_number": "712-297-8989",
            "fax_number": "712-297-8991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEJTMANEK",
        "first_name": "KEVIN",
        "middle_name": "R",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-10",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "004102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bret M Francis
• Cynthia Joan Grear, RPH
• Megan R Grodahl, P.A.
• Hannah Halbur
• Harris Drug, Inc.
• Derrick Henkenius
• Rueger J Holmgaard
• Audrey P Hood, T-LMHC
• Susan A Hornback, DO
• Megan M Huster

• Physical Therapist in Lake City, IA
• Providers in Lake City, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.