Jackie Michelle Heersink

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7225 Issued in CO

Practice address

5825 Delmonico Dr Ste 300
Colorado Springs, CO 80919-2244

Phone

(719) 577-4104

NPI assigned

Nov 20, 2017

Last updated

Nov 20, 2017By 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

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Village Physical Therapy, P.C.Group PAC ID 5496936379, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Village Physical Therapy, PC

  dba PT Solutions of Colorado

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1710026992
  Medicare reassignment Care Compare group NPD
• Village Physical Therapy, P.C.

  dba PT Solutions of Colorado

  • Physical Therapist
  • Denver, CO
  • NPI 1992465009
  NPD
• Village Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Castle Rock, CO
  • NPI 1720447964
  NPD

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511136000000",
    "number": "1467966978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4071 STAMPEDE DR",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801047849",
            "telephone_number": "303-720-8955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 DELMONICO DR STE 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192244",
            "telephone_number": "719-577-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEERSINK",
        "first_name": "JACKIE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-20",
        "last_updated": "2017-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "7225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hedman Counseling
• Mitchyl Ellen Hedman, RDH
• Tara L Hedman
• Brandon Heedt
• Nathan Heeke, DC
• Susan M Heffley, MD
• Katharine Heffner, MD
• Crystal Heflin
• Sydney Susan Heflin, ED.D.
• Joseph Lee Hegarty, MD

• Physical Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; 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.