Camilla M Heit, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1895-19 Issued in WI

Practice address

1185 Corporate Center Dr Ste 155
Oconomowoc, WI 53066-4887

Phone

(262) 567-3528

NPI assigned

Jan 26, 2018

Last updated

Jan 26, 2018By 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

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516924800000",
    "number": "1457859274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 CORPORATE CENTER DR STE 155",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530664887",
            "telephone_number": "262-567-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIT",
        "first_name": "CAMILLA",
        "middle_name": "M",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-26",
        "last_updated": "2018-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "1895-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridgette Marie Hanson, RN
• James Joseph Harper, M.D.
• Jamie Healy, LMT
• Hearing Center, Inc.
• Joshua J Heinecke, O.D.
• Debbie Jean Heitzer, RN
• Tricia Helwig, MS, RD, CD
• Herslof's, Inc (Herslof Opticians)
• Julie Ann Hester, MSW
• Joanne Heup, RN

• Physical Therapy Assistant in Oconomowoc, WI
• Providers in Oconomowoc, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.