Active NPI
Heather Heffner, DPT
- Pediatric Physical Therapist
- Garden Grove, CA
National Provider Identifier
1487945101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 37579
- Practice address
- 12881 Knott St Ste 103
Garden Grove, CA 92841-3939 - Phone
- (714) 892-6828
- Fax
- (714) 898-9720
- NPI assigned
- Apr 28, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 37579 | CA | Primary |
Addresses
Primary practice location
12881 Knott St Ste 103
Garden Grove, CA 92841-3939
Mailing address
12881 Knott St Ste 103
Garden Grove, CA 92841-3939
Phone (714) 892-6828
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37579 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beach Kids Therapy Center, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Occupational Therapist
- San Clemente, CA
- NPI 1760658074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303948800000",
"number": "1487945101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12881 KNOTT ST STE 103",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928413939",
"telephone_number": "714-892-6828",
"fax_number": "714-898-9720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12881 KNOTT ST STE 103",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928413939",
"telephone_number": "714-892-6828",
"fax_number": "714-898-9720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEFFNER",
"first_name": "HEATHER",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-28",
"last_updated": "2011-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "CA",
"license": "37579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Grove, CA
- Healthpointe Medical Group, Inc.
- Healthpointe Medical Group, Inc.
- Healthy Smiles for Kids of Orange County
- Heart and Mind Talk Therapy
- Heather J Dale Licensed Clinical Social Worker Corporation
- Gary Michael Heidner, DDS
- Anna Heilig-Adams, PA-C
- Jenae Morgen Heitkamp, M.A. M.F.T.I.
- Helping Hands for Better Living Adult Day Health Care
- Fariba Hemat, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.