Active NPI
Mary Heitsman
- Physical Therapy Assistant
- New Sharon, IA
National Provider Identifier
1467017897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 001584
- Practice address
- 105 Sunset Dr
New Sharon, IA 50207-7750 - Phone
- (641) 637-2780
- NPI assigned
- May 1, 2019
- Last updated
- May 1, 2019
- 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 Therapy Assistant | 225200000X | 001584 | IA | Primary |
Addresses
Primary practice location
105 Sunset Dr
New Sharon, IA 50207-7750
Mailing address
PO Box 125
New Sharon, IA 50207-0125
Phone (641) 637-2780
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556668800000",
"number": "1467017897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 125",
"city": "NEW SHARON",
"state": "IA",
"postal_code": "502070125",
"telephone_number": "641-637-2780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 SUNSET DR",
"city": "NEW SHARON",
"state": "IA",
"postal_code": "502077750",
"telephone_number": "641-637-2780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEITSMAN",
"first_name": "MARY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-01",
"last_updated": "2019-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IA",
"license": "001584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Sharon, IA
- Bridge of Faith
- Benjamin John Carlson, D.C.
- Merranda Degeest, MSN,RN
- Grinnell Regional Medical Center (New Sharon Memorial Clinic)
- Casandra Lynnette Lobberecht, RN
- New Sharon Chiropractic P.C.
- New Sharon Fire and Rescue Association Incorporated (New Sharon Fire & Rescue Association)
- New Sharon Medical Center
- North Mahaska C.S.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.