Active NPI
Heritage Physical Therapy Limited Partnership
- Physical Therapy Clinic/Center
- Ridgecrest, CA
National Provider Identifier
1477667525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- HERITAGE PHYSICAL THERAPY LIMITED PARTNERSHIP
- Practice address
- 540 Perdew Ave Ste C
Ridgecrest, CA 93555-2596 - Phone
- (760) 446-3611
- Fax
- (760) 446-5811
- NPI assigned
- Aug 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janna P. King, JD
- Title
- VP,Authorized Official
- Phone
- (713) 297-7000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
540 Perdew Ave Ste C
Ridgecrest, CA 93555-2596
Mailing address
1300 W Sam Houston Pkwy S
Suite 300
Houston, TX 77042-2447
Phone (713) 297-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Outpatient physical therapy / speech pathology certification: CCN 556545
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- HERITAGE PHYSICAL THERAPY
- Certification status
- Active
- Provider type (POS)
- Outpatient physical therapy / speech pathology
- Participating since
- Oct 11, 2001
- Last certification
- Jun 24, 2014
- Ownership / control type
- Proprietary
- Facility address
- 540 Perdew, Suite C
Ridgecrest, CA 93555
National Provider Directory
National Provider DirectoryLocations
982 N Norma St
Ridgecrest, CA 93555
Phone (760) 446-3611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1477667525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 W SAM HOUSTON PKWY S",
"address_2": "SUITE 300",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770422447",
"telephone_number": "713-297-7000",
"fax_number": "713-297-7090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 PERDEW AVE STE C",
"city": "RIDGECREST",
"state": "CA",
"postal_code": "935552596",
"telephone_number": "760-446-3611",
"fax_number": "760-446-5811"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERITAGE PHYSICAL THERAPY LIMITED PARTNERSHIP",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-18",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "KING",
"authorized_official_first_name": "JANNA",
"authorized_official_middle_name": "P.",
"authorized_official_title_or_position": "VP,AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "713-297-7000",
"authorized_official_credential": "JD"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgecrest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.