Individual provider Active NPI

Heidi J. Verrall, MPT

  • Physical Therapist
  • Stanwood, WA
National Provider Identifier
1437229242
Registry record updated Jul 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT603114245 Issued in WA
Practice address
27500 102ND Ave NW
Ste 1
Stanwood, WA 98292-8092
Phone
(360) 629-9768
Fax
(360) 629-6487
NPI assigned
Nov 9, 2006
Last updated
Jul 30, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT1626 ID
Physical Therapist 225100000X PT603114245 WA Primary

Addresses

Primary practice location

27500 102ND Ave NW
Ste 1
Stanwood, WA 98292-8092

Mailing address

27500 102ND Ave NW
Ste 1
Stanwood, WA 98292-8092
Phone (360) 629-9768

Other names 1

  • Heidi J. Vanengen Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121214000031 WA Practitioner - Physical Therapist in Private Practice 1456503671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NSPT IncGroup PAC ID 5698850295, 26 clinicians

Practice addresses (Care Compare)

27500 102ND Ave NW
Suite 1
Stanwood, WA 98292-8092
Phone (360) 629-9768

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT1626IDMDPhysical Therapist
PT603114245WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
NSPT, Inc. Physical Therapist CurrentSince Nov 12, 2012 Accepting new patients
NSPT, Inc. Physical Therapist CurrentSince Nov 12, 2012 Accepting new patients

Locations

275 SE Cabot Dr
Ste B203
Oak Harbor, WA 98277
Phone (360) 279-1445

27500 102nd Ave NW
Ste 1
Stanwood, WA 98292
Phone (360) 629-7528

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.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406678400000",
    "number": "1437229242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27500 102ND AVE NW",
            "address_2": "STE 1",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982928092",
            "telephone_number": "360-629-9768",
            "fax_number": "360-629-6487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27500 102ND AVE NW",
            "address_2": "STE 1",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982928092",
            "telephone_number": "360-629-9768",
            "fax_number": "360-629-6487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERRALL",
        "first_name": "HEIDI",
        "middle_name": "J.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2014-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT1626",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT603114245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "VANENGEN",
            "middle_name": "J.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stanwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; 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.