Active NPI
Kennedi Heisterkamp
- Physical Therapist
- Houston, TX
National Provider Identifier
1447989934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1360439
- Practice address
- 12605 East Fwy Ste 212
Houston, TX 77015-5619 - Phone
- (713) 453-0400
- NPI assigned
- Jun 9, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1360439 | Primary |
Addresses
Primary practice location
12605 East Fwy Ste 212
Houston, TX 77015-5619
Mailing address
2121 Edwards St Apt 474
Houston, TX 77007-4816
Phone (325) 733-4403
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M Winter & Associates Pediatric Rehabilitation Center Inc | Past | Accepting new patients | |
| Helling Children'S Center LP | Past | Accepting new patients | |
| M. Winter & Associates Pediatric Therapy Centers, LTD | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Rehabilitation Clinic/Center
- Houston, TX
- NPI 1871526939
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Katy, TX
- NPI 1891728085
-
- Rehabilitation Clinic/Center
- Houston, TX
- NPI 1205874773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654732800000",
"number": "1447989934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 EDWARDS ST APT 474",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770074816",
"telephone_number": "325-733-4403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12605 EAST FWY STE 212",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770155619",
"telephone_number": "713-453-0400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEISTERKAMP",
"first_name": "KENNEDI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-09",
"last_updated": "2022-06-09",
"certification_date": "2022-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": "1360439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.