Shelly Heimann, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

872 W Dayton St
Galesburg, IL 61401-1503

Phone

(309) 344-3400

Fax

(309) 344-5040

NPI assigned

Jul 12, 2007

Last updated

Jul 12, 2007By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1316146178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "872 W DAYTON ST",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614011503",
            "telephone_number": "309-344-3400",
            "fax_number": "309-344-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "872 W DAYTON ST",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614011503",
            "telephone_number": "309-344-3400",
            "fax_number": "309-344-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIMANN",
        "first_name": "SHELLY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Galesburg, IL
• Providers in Galesburg, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.