Jennifer C Heisey, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1242810 Issued in TX

Practice address

1551 N Walnut Ave Ste 47
New Braunfels, TX 78130-6045

Phone

(830) 358-1151

Fax

(830) 626-3422

NPI assigned

Mar 27, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jennifer C Clark Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540080000000",
    "number": "1447592563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 N WALNUT AVE STE 47",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306045",
            "telephone_number": "830-358-1151",
            "fax_number": "830-626-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 N WALNUT AVE STE 47",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306045",
            "telephone_number": "830-358-1151",
            "fax_number": "830-626-3422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "728 East Veteran's Parkway",
            "address_2": "Suite107",
            "address_purpose": "LOCATION",
            "city": "Yorkvville",
            "state": "IL",
            "postal_code": "60560",
            "country_code": "US",
            "telephone_number": "630-553-0349",
            "fax_number": "630-553-0439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEISEY",
        "first_name": "JENNIFER",
        "middle_name": "C",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2018-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "070019764",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1242810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "CLARK",
            "middle_name": "C",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark William Hedrick, AUD, CCC-A
• Esther Marie Heffler, LPC
• Christelle Heiman, SLPA
• Kurt Hein, TX.L.AC.
• Robert Allen Heinrich, D.D.S.
• Robert Henderson Jr.
• Gwendolyn M Hendricks
• Brooke Hendrickson, DPT
• Theresa Lynne Hennig, RDN
• Dallas Marie Henson, RN

• Physical Therapist in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2018; 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.