Active NPI
Heather Herron
- Physical Therapy Assistant
- Live Oak, FL
National Provider Identifier
1336496843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA21888
- Practice address
- 19123 180TH St
Live Oak, FL 32060-6439 - Phone
- (386) 590-7283
- NPI assigned
- Aug 14, 2012
- 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 Therapy Assistant | 225200000X | PTA21888 | FL | Primary |
Addresses
Primary practice location
19123 180TH St
Live Oak, FL 32060-6439
Mailing address
19123 180TH St
Live Oak, FL 32060-6439
Phone (386) 590-7283
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 |
|---|---|---|---|
| PTA21888 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344902400000",
"number": "1336496843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19123 180TH ST",
"city": "LIVE OAK",
"state": "FL",
"postal_code": "320606439",
"telephone_number": "386-590-7283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19123 180TH ST",
"city": "LIVE OAK",
"state": "FL",
"postal_code": "320606439",
"telephone_number": "386-590-7283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRON",
"first_name": "HEATHER",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-14",
"last_updated": "2012-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA21888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Live Oak, FL
- Healing Hands of Suwannee County, LLC
- Beverly Ann Heinking, D.O.
- Melissa Helphrey
- Helping Hand Home Health Services, LLC (Jade Serenity Massage)
- Michelle Henderson
- Hideas LLC (The Farm)
- Higgins & White Dentistry PLLC (Mantooth, Higgins & White Dentistry)
- Holiday CVS LLC (CVS Pharmacy 05171)
- Steven P. Holliman, M.D.
- Hope Springs ABA LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.