Active NPI
Heather Simpson Rader, PT
- Physical Therapist
- Mount Dora, FL
National Provider Identifier
1356470942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12044
- Practice address
- 1502 N. Donnelly St.
Suite 108
Mount Dora, FL 32757 - Phone
- (352) 409-7603
- Fax
- (352) 589-5747
- NPI assigned
- Mar 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225100000X | 12044 | FL | Primary |
Addresses
Primary practice location
1502 N. Donnelly St.
Suite 108
Mount Dora, FL 32757
Mailing address
1502 N. Donnelly St.
Suite 108
Mount Dora, FL 32757
Phone (352) 409-7603
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 |
|---|---|---|---|
| 12044 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coburn a. Marston, PT | Physical Therapist | Past | Accepting new patients |
| Florida Physical Therapy & Rehabilitative Services Inc | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Magnolia Physical Therapy
- Physical Therapy Clinic/Center
- Leesburg, FL
- NPI 1659591568
Physical Therapist
-
dba Lake Centre for Rehabilitation
- Rehabilitation Clinic/Center
- Leesburg, FL
- NPI 1417023730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554854400000",
"number": "1356470942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1502 N. DONNELLY ST.",
"address_2": "SUITE 108",
"city": "MOUNT DORA",
"state": "FL",
"postal_code": "32757",
"telephone_number": "352-409-7603",
"fax_number": "352-589-5747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 N. DONNELLY ST.",
"address_2": "SUITE 108",
"city": "MOUNT DORA",
"state": "FL",
"postal_code": "32757",
"telephone_number": "352-409-7603",
"fax_number": "352-589-5747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADER",
"first_name": "HEATHER",
"middle_name": "SIMPSON",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-02",
"last_updated": "2019-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "12044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Dora, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.