Heather Lynn Runion

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5955 Issued in TN

Practice address

2114 E Fairview Ave
Johnson City, TN 37601-2858

Phone

(423) 928-6464

NPI assigned

Jun 29, 2015

Last updated

Jun 29, 2015By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Fairview Therapy

  dba Mini Miracles Pediatric Therapy

  • Early Intervention Provider Agency
  • Johnson City, TN
  • NPI 1831774637
  NPD (past)
• Mini Miracles Pediatric Therapy, PLLC

  • Early Intervention Provider Agency
  • Johnson City, TN
  • NPI 1477991560
  NPD (past)

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1437531266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 WASHINGTON COLLEGE STA RD",
            "city": "LIMESTONE",
            "state": "TN",
            "postal_code": "376812907",
            "telephone_number": "423-426-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 E FAIRVIEW AVE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376012858",
            "telephone_number": "423-928-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNION",
        "first_name": "HEATHER",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "5955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blake T Rozycki, DO
• Michael David Rubezin, MD
• Christopher S Rudd, NP
• Steven Ruiz
• David Runge
• Clay W Runnels, MD
• Millicent Runnels, RDN
• Carol Reid Runyan, AUD
• Kaela Rupert
• Daniel S Rush, MD

• Physical Therapy Assistant in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.