Heidi Concello, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

291293 Issued in CA

Practice address

373 Smile PL
Redding, CA 96001-3637

Phone

(530) 338-0002

NPI assigned

Jan 6, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Heidi Holmquist Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: heidi.concello.1@20136.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/20136/brand/1/csg/1/fhir/r4

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.

• Selah Women'S Health PC

  • Obstetrics & Gynecology Physician
  • Redding, CA
  • NPI 1457731911
  NPD (past)

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1427719905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 SMILE PL",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 SMILE PL",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013637",
            "telephone_number": "530-338-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCELLO",
        "first_name": "HEIDI",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "291293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "HOLMQUIST",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Combs, PA-C
• Mary Eryza Angeline P Comia
• Community Medical Specialists Inc
• Kaylah Micheal Como
• Comprehensive Surgical Care of Redding, LLC
• Jacob Daniel Concienne
• Daniel Conklin
• Alexia M. Conn
• Connect Hearing, Inc.
• Connecting to Care

• Physical Therapist in Redding, CA
• Providers in Redding, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.