Individual provider Active NPI

Zachary Chad Heiser

  • Massage Therapist
  • St Petersburg, FL
National Provider Identifier
1346831427
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
9455 Koger Blvd N Ste 113
St Petersburg, FL 33702-2431
Phone
(727) 200-1319
NPI assigned
Feb 1, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X Primary

Addresses

Primary practice location

9455 Koger Blvd N Ste 113
St Petersburg, FL 33702-2431

Mailing address

9455 Koger Blvd N Ste 113
St Petersburg, FL 33702-2431
Phone (727) 200-1319

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL eliteinjurysolutions@gmail.com

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Injury Solutions Massage Therapist CurrentSince Feb 7, 2021 Accepting new patients

Locations

9455 Koger Blvd N
Ste 113
St Petersburg, FL 33702
Phone (727) 200-1319

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": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1346831427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9455 KOGER BLVD N STE 113",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337022431",
            "telephone_number": "727-200-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9455 KOGER BLVD N STE 113",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337022431",
            "telephone_number": "727-200-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEISER",
        "first_name": "ZACHARY",
        "middle_name": "CHAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "eliteinjurysolutions@gmail.com",
            "affiliation": "N",
            "address_1": "9455 Koger Blvd N Ste 113",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337022431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.