Individual provider Active NPI

Heidi Marie Cummins, PT

  • Physical Therapist
  • Normal, IL
National Provider Identifier
1336625383
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.023612 Issued in IL
Practice address
1200 E College Ave Apt 220
Normal, IL 61761-3171
Phone
(773) 284-9888
NPI assigned
Jul 12, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.023612 IL Primary

Addresses

Primary practice location

1200 E College Ave Apt 220
Normal, IL 61761-3171

Mailing address

PO Box 37
Worth, IL 60482-0037
Phone (309) 838-9667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230130002146 IL Practitioner - Physical Therapist in Private Practice 6305217357 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Care Southeast LLCGroup PAC ID 6204079163, 193 clinicians

Practice addresses (Care Compare)

117 N Western Ave
Peoria, IL 61604-5650
Phone (309) 674-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.023612ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Savoy Therapy Services Inc Physical Therapist CurrentSince Feb 1, 2024 Accepting new patients
Synergy Care Southeast, LLC Physical Therapist CurrentSince Feb 9, 2026 Accepting new patients

Locations

1200 E College Ave
Normal, IL 61761
Phone (309) 321-0358

117 N Western Ave
Peoria, IL 61604
Phone (309) 674-2400

415 N Dunlap Ave
Unit 452
Savoy, IL 61874
Phone (217) 898-8393

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1336625383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37",
            "city": "WORTH",
            "state": "IL",
            "postal_code": "604820037",
            "telephone_number": "309-838-9667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E COLLEGE AVE APT 220",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617613171",
            "telephone_number": "773-284-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINS",
        "first_name": "HEIDI",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-12",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.023612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Normal, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.