Joshua Daniel Heinly, PT, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

296924 Issued in CA

Practice address

405 W 5TH St
Santa Ana, CA 92701-4599

Phone

(714) 834-7336

NPI assigned

Sep 19, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1386294403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 SANDCASTLE",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563834",
            "telephone_number": "443-752-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W 5TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014599",
            "telephone_number": "714-834-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINLY",
        "first_name": "JOSHUA",
        "middle_name": "DANIEL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "296924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jheinly2@memorialcare.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "405 W 5th St",
            "city": "Santa Ana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927014599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert Charles Heidenrich, PH.D.
• Heidi Regenass MD PC
• Heidi Regenass, M.D., PC.
• Nicole Heighes, DPT
• Emily J Heiner, RN, PHN
• Christopher Dean Heitland, M.D.
• Adam Helberg, MD
• Chad Heliker, RADT
• Jennifer Lynn Hellman
• Mitchell Hemerling

• Pediatric Physical Therapist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Pediatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.

Verify at the official NPI Registry.