Individual provider Active NPI

Brice C Heinen, DPT

  • Physical Therapist
  • Oklahoma City, OK
National Provider Identifier
1346676442
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4762 Issued in OK
Practice address
3000 United Founders Blvd Ste 141S
Oklahoma City, OK 73112-3958
Phone
(405) 831-7468
Fax
(405) 242-3057
NPI assigned
Sep 20, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 4762 OK Primary

Addresses

Primary practice location

3000 United Founders Blvd Ste 141S
Oklahoma City, OK 73112-3958

Mailing address

2916 Cornwall PL
Oklahoma City, OK 73120-4306
Phone (405) 831-7468

Other practice location 1

12401 Trail Oaks Dr
Oklahoma City, OK 73120-1701
Phone (405) 831-7468

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140218001492 OK Practitioner - Physical Therapist in Private Practice 1355570284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heinen Physical Therapy PCGroup PAC ID 7810257524, 4 clinicians

Practice addresses (Care Compare)

7710 N May Ave
Oklahoma City, OK 73116-3114
Phone (405) 256-8699

7712 N May Ave
Oklahoma City, OK 73116-3114
Phone (405) 256-8699

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4762OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Heinen Physical Therapy, PC Physical Therapist CurrentSince Apr 25, 2017 Accepting new patients

Locations

3000 United Founders Blvd
Ste 141S
Oklahoma City, OK 73112
Phone (405) 256-8699

7710 N May Ave
Oklahoma City, OK 73116
Phone (405) 256-8699

7712 N May Ave
Oklahoma City, OK 73116
Phone (405) 256-8699

Organizations & group practices 1

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": "1379635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1346676442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 CORNWALL PL",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731204306",
            "telephone_number": "405-831-7468",
            "fax_number": "405-242-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 UNITED FOUNDERS BLVD STE 141S",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731123958",
            "telephone_number": "405-831-7468",
            "fax_number": "405-242-3057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12401 Trail Oaks Dr",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731201701",
            "country_code": "US",
            "telephone_number": "405-831-7468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEINEN",
        "first_name": "BRICE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.