Active NPI
Jennifer Ann Heist, PT
- Physical Therapist
- Richmond, KY
National Provider Identifier
1497054480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004355
- Practice address
- 2150 Lexington Rd Ste G
Richmond, KY 40475-7924 - Phone
- (859) 333-8147
- Fax
- (877) 665-7294
- NPI assigned
- Mar 16, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 004355 | KY | Primary |
Addresses
Primary practice location
2150 Lexington Rd Ste G
Richmond, KY 40475-7924
Mailing address
887 Jackson Rd
Somerset, KY 42501-4953
Phone (859) 608-6514
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 |
|---|---|---|---|
| 004355 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Choice Home Care, LLC | Physical Therapist | 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.
-
- Rehabilitation Clinic/Center
- Richmond, KY
- NPI 1821324245
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300233600000",
"number": "1497054480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "887 JACKSON RD",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425014953",
"telephone_number": "859-608-6514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 LEXINGTON RD STE G",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404757924",
"telephone_number": "859-333-8147",
"fax_number": "877-665-7294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIST",
"first_name": "JENNIFER",
"middle_name": "ANN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-16",
"last_updated": "2011-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "004355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.