Individual provider Active NPI

Julia Marie Heitke, DPT

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • El Dorado Hills, CA
National Provider Identifier
1386459741
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
307136 Issued in CA
Practice address
4990 Hillsdale Cir Ste 100
El Dorado Hills, CA 95762-5770
Phone
(916) 905-6378
Fax
(916) 672-0114
NPI assigned
Feb 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 307136 CA Primary

Addresses

Primary practice location

4990 Hillsdale Cir Ste 100
El Dorado Hills, CA 95762-5770

Mailing address

4990 Hillsdale Cir Ste 100
El Dorado Hills, CA 95762-5770
Phone (916) 905-6378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250509002934 CA Practitioner - Physical Therapist in Private Practice 7416474648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Mikla Dunning Physical Therapy Systems PCGroup PAC ID 0941592067, 31 clinicians

Practice addresses (Care Compare)

10015 Foothills Blvd
Suite 130
Roseville, CA 95747-7101
Phone (916) 905-6378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
307136CAMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mikla Dunning Physical Therapy Systems, PC CurrentSince Mar 24, 2025 Accepting new patients
Kime Performance Nevada LLC PastSince Feb 23, 2025 Accepting new patients

Locations

4990 Hillsdale Cir
Ste 100
El Dorado Hls, CA 95762
Phone (916) 342-4190

10015 Foothills Blvd
Ste 130
Roseville, CA 95747

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1386459741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4990 HILLSDALE CIR STE 100",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957625770",
            "telephone_number": "916-905-6378",
            "fax_number": "916-672-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4990 HILLSDALE CIR STE 100",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957625770",
            "telephone_number": "916-905-6378",
            "fax_number": "916-672-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEITKE",
        "first_name": "JULIA",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "CA",
            "license": "307136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.

Verify at the official NPI Registry.