Individual provider Active NPI

Rodney R Heschong, R.P.T.

  • Physical Therapist
  • Mill Valley, CA
National Provider Identifier
1346357910
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
00PT84220 Issued in CA
Practice address
619 E Blithedale Ave
Suite B
Mill Valley, CA 94941-1468
Phone
(415) 388-5223
Fax
(415) 388-5270
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 00PT84220 CA Primary

Addresses

Primary practice location

619 E Blithedale Ave
Suite B
Mill Valley, CA 94941-1468

Mailing address

619 E Blithedale Ave
Suite B
Mill Valley, CA 94941-1468
Phone (415) 388-5223

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
84220CAMDPharmacist
00PT84220CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346357910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 E BLITHEDALE AVE",
            "address_2": "SUITE B",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411468",
            "telephone_number": "415-388-5223",
            "fax_number": "415-388-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 E BLITHEDALE AVE",
            "address_2": "SUITE B",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411468",
            "telephone_number": "415-388-5223",
            "fax_number": "415-388-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESCHONG",
        "first_name": "RODNEY",
        "middle_name": "R",
        "credential": "R.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "00PT84220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Valley, CA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.