Individual provider Active NPI

Kristinn Irene Heinrichs, PHD, PT, SCS, ATC

  • Physical Therapist
  • Goodyear, AZ
National Provider Identifier
1487850186
Registry record updated Dec 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7254 Issued in AZ
Practice address
250 N Litchfield Rd
#155
Goodyear, AZ 85338-1333
Phone
(623) 882-9787
Fax
(623) 882-9791
NPI assigned
Jun 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Ergonomics Physical Therapist 2251E1200X 7254 AZ
Human Factors Physical Therapist 2251H1300X 7254 AZ
Neurology Physical Therapist 2251N0400X 7254 AZ
Sports Physical Therapist 2251S0007X 7254 AZ
Orthopedic Physical Therapist 2251X0800X 7254 AZ
Physical Therapist 225100000X 7254 AZ Primary

Addresses

Primary practice location

250 N Litchfield Rd
#155
Goodyear, AZ 85338-1333

Mailing address

250 North Litchfield Road
#155
Goodyear, AZ 85338-1367
Phone (623) 882-9787

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)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324598400000",
    "number": "1487850186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 NORTH LITCHFIELD ROAD",
            "address_2": "#155",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381367",
            "telephone_number": "623-882-9787",
            "fax_number": "623-882-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N LITCHFIELD RD",
            "address_2": "#155",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381333",
            "telephone_number": "623-882-9787",
            "fax_number": "623-882-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINRICHS",
        "first_name": "KRISTINN",
        "middle_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "PHD, PT, SCS, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2011-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251E1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Ergonomics",
            "state": "AZ",
            "license": "7254",
            "primary": false
        },
        {
            "code": "2251H1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Human Factors",
            "state": "AZ",
            "license": "7254",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "AZ",
            "license": "7254",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "AZ",
            "license": "7254",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "7254",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "7254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.