Active NPI
Heather Falconer Drake, PTA
- Physical Therapy Assistant
- Scottsdale, AZ
National Provider Identifier
1386474849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA-014225
- Practice address
- 10901 E McDowell Rd
Scottsdale, AZ 85256-5300 - Phone
- (480) 278-7742
- NPI assigned
- Aug 7, 2024
- 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 Therapy Assistant | 225200000X | PTA-014225 | AZ | Primary |
Addresses
Primary practice location
10901 E McDowell Rd
Scottsdale, AZ 85256-5300
Mailing address
604 S Evergreen Rd
Tempe, AZ 85288-3103
Phone (480) 330-0227
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 |
|---|---|---|---|
| PTA-014225 | AZ | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1386474849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 S EVERGREEN RD",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852883103",
"telephone_number": "480-330-0227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10901 E MCDOWELL RD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852565300",
"telephone_number": "480-278-7742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAKE",
"first_name": "HEATHER",
"middle_name": "FALCONER",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-07",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": "AZ",
"license": "PTA-014225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.