Heather Marie Chisholm, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501015722 Issued in MI

Practice address

4000 Eastern Sky Dr
Suite 6
Traverse City, MI 49684-7351

Phone

(231) 932-9014

Fax

(231) 932-9034

NPI assigned

Oct 25, 2011

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 names 1

• Heather Marie Plummer Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Leelanau Physical Therapy PCGroup PAC ID 1557527561, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Leelanau Physical Therapy, PC

  • Physical Therapist
  • Suttons Bay, MI
  • NPI 1295092658
  Medicare reassignment Care Compare group NPD
• Accelerated Mobility Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Traverse City, MI
  • NPI 1295887594

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1467738286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 EASTERN SKY DR",
            "address_2": "SUITE 6",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847351",
            "telephone_number": "231-932-9014",
            "fax_number": "231-932-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 EASTERN SKY DR",
            "address_2": "SUITE 6",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847351",
            "telephone_number": "231-932-9014",
            "fax_number": "231-932-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISHOLM",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-25",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "PLUMMER",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa Chimner, MD
• Carlistie Jean Chingwa
• Kristen Chippi, O.D.
• Chiropracther, PLLC
• Chiropractic Care Grand Traverse, PC
• Michael Phillip Chisholm, DPT
• Choice Autism Center
• Choices Inc
• Judith S Christensen, PHARM.D.
• Taylor Christensen

• Physical Therapist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.