Active NPI
Kaitlyn Heine
- Physical Therapist
- Glen Mills, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT026554
- Practice address
- 300 Evergreen Dr Ste 220
Glen Mills, PA 19342-1059 - Phone
- (610) 579-3650
- Fax
- (610) 579-3655
- NPI assigned
- Nov 3, 2017
- Sex
- Female
- Sole proprietor
- No
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 | PT026554 | PA | Primary |
Addresses
Primary practice location
300 Evergreen Dr Ste 220
Glen Mills, PA 19342-1059
Mailing address
PO Box 5228
West Chester, PA 19380-0405
Phone (610) 359-5672
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Evergreen Dr
Suite 220
Glen Mills, PA 19342-1059
Phone (610) 579-3650
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.6 of 100
- Promoting interoperability
- 96
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Orthopaedic and Sports Medicine Associates, LTD | Physical Therapist | Current | Accepting new patients |
| Premier Orthopaedic and Sports Medicine Associates LTD | Physical Therapist | Current | Accepting new patients |
| Reconstructive Orthopaedic Associates II LLC | Physical Therapist | Current | Accepting new patients |
| Reconstructive Orthopaedic Associates II LLC | Current | Accepting new patients |
Locations
2004 Sproul Rd
Fl 1
Broomall, PA 19008
Phone (610) 353-0800
825 Old Lancaster Rd
Ste 140
Bryn Mawr, PA 19010
Phone (610) 672-1163
825 Old Lancaster Rd
Bryn Mawr, PA 19010
Phone (610) 527-0800
300 Evergreen Dr
Ste 220
Glen Mills, PA 19342
Phone (610) 579-3650
3809 West Chester Pike
Ste 150
Newtown Square, PA 19073
Phone (484) 356-9401
925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738
Interoperability endpoints
- kaitlyn.heine.1@22724.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Newtown Square, PA
- NPI 1215987243
Physical Therapist
-
- Orthopaedic Surgery Physician
- Philadelphia, PA
- NPI 1861433278
-
- Durable Medical Equipment & Medical Supplies
- Exton, PA
- NPI 1497485080
Physical Therapist
-
- Prosthetic/Orthotic Supplier
- Philadelphia, PA
- NPI 1497571830
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1366954901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5228",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193800405",
"telephone_number": "610-359-5672",
"fax_number": "610-359-1519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 EVERGREEN DR STE 220",
"city": "GLEN MILLS",
"state": "PA",
"postal_code": "193421059",
"telephone_number": "610-579-3650",
"fax_number": "610-579-3655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINE",
"first_name": "KAITLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-03",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT026554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Mills, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.