Active NPI
Brenda Yvonne Araujo, DPT
- Pediatric Physical Therapist
- Kalamazoo, MI
National Provider Identifier
1386896918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 5501017621
- Practice address
- 5659 Stadium Dr
Kalamazoo, MI 49009-1932 - Phone
- (269) 372-0436
- NPI assigned
- Oct 14, 2008
- Last updated
- Jul 28, 2016
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8178 | MN | |
| Physical Therapist | 225100000X | 35368 | CA | |
| Physical Therapist | 225100000X | 24824 | FL | |
| Pediatric Physical Therapist | 2251P0200X | 5501017621 | MI | Primary |
Addresses
Primary practice location
5659 Stadium Dr
Kalamazoo, MI 49009-1932
Mailing address
330 N Riverview Dr
Parchment, MI 49004-1310
Phone (951) 965-3853
Other names 1
- Brenda Yvonne Heinrich
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24824 | FL | MD | Dentist |
| 8178 | MN | MD | Dentist |
| 5501017621 | MI | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Pando Geriatric Counseling, PC | Past | Accepting new patients |
Locations
5601 S 84th St
Lincoln, NE 68516
Phone (402) 480-0250
4801 N 52nd St
Omaha, NE 68104
Phone (402) 557-6860
6991 S 178th Plz
Omaha, NE 68136
Phone (402) 819-0669
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
NE, Physical Therapist
-
- Community/Behavioral Health Agency
- Omaha, NE
- NPI 1700171741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469664000000",
"number": "1386896918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 N RIVERVIEW DR",
"city": "PARCHMENT",
"state": "MI",
"postal_code": "490041310",
"telephone_number": "951-965-3853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5659 STADIUM DR",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490091932",
"telephone_number": "269-372-0436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARAUJO",
"first_name": "BRENDA",
"middle_name": "YVONNE",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-14",
"last_updated": "2016-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "8178",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "35368",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "24824",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "MI",
"license": "5501017621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRENDA",
"last_name": "HEINRICH",
"middle_name": "YVONNE",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kalamazoo, MI
- Apria Healthcare LLC
- Apria Healthcare, Inc.
- April Coleman LCSW
- Ahmed Aqeel, MD
- Theresa Anne Aranda, PHARMD
- William Arbogast, AT,C
- Arcadia Center for Occupational Therapy, LLC
- Arcadia Dental, P. C.
- Arcadia Home Oxygen & Medical Equipment Inc. (Arcadia H.O.M.E)
- Arcadia Information Network (The Arcadia Institute)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.