Active NPI
James Heafner
- Orthopedic Physical Therapist
- Boulder, CO
National Provider Identifier
1386046027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PTL.0012963
- Practice address
- 3120 Pearl Pkwy Apt 307
Boulder, CO 80301-2495 - Phone
- (618) 604-3293
- NPI assigned
- Sep 25, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PTL.0012963 | CO | Primary |
Addresses
Primary practice location
3120 Pearl Pkwy Apt 307
Boulder, CO 80301-2495
Mailing address
3120 Pearl Pkwy Apt 307
Boulder, CO 80301-2495
Phone (618) 604-3293
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 |
|---|---|---|---|
| PTL.0012963 | CO | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411603200000",
"number": "1386046027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3120 PEARL PKWY APT 307",
"city": "BOULDER",
"state": "CO",
"postal_code": "803012495",
"telephone_number": "618-604-3293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3120 PEARL PKWY APT 307",
"city": "BOULDER",
"state": "CO",
"postal_code": "803012495",
"telephone_number": "618-604-3293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEAFNER",
"first_name": "JAMES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-25",
"last_updated": "2014-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CO",
"license": "PTL.0012963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.