Pamela Gail Heavner, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

0019003993 Issued in VA

Practice address

9291 Laurel Grove Rd
Mechanicsville, VA 23116-2969

Phone

(804) 559-7990

NPI assigned

Dec 3, 2019

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 identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Proactive Massage & Bodywork, LLC

  • Massage Therapist
  • Mechanicsville, VA
  • NPI 1952948481
  NPD Authorized official

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1437796950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9031 FASCINE CT",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231166570",
            "telephone_number": "804-559-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9291 LAUREL GROVE RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162969",
            "telephone_number": "804-559-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAVNER",
        "first_name": "PAMELA",
        "middle_name": "GAIL",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019003993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0019003993",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.proactiverva.com",
            "affiliation": "N",
            "endpointDescription": "website with secure portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "na",
            "address_1": "9291 Laurel Grove Rd",
            "city": "Mechanicsville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231162969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Health Touch, LLC
• Kenneth M Heatwole, M.D.
• Heavenly Helpers in-Home Services
• Heavenly Helpers in-Home Services
• Heavens Choice Home Healthcare (Hchhc)
• Curt J Heimbach, MD
• Dorothy Pendleton Heimlich
• Judy Helfman, P.T.
• Helping My Angels, LLC
• Kaylona Hempfield

• Massage Therapist in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Massage Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.