Individual provider Active NPI

Heather Killick, MPT

  • Physical Therapist
  • Indian Harbour Beach, FL
National Provider Identifier
1497798094
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT20318 Issued in FL
Practice address
2030 S Patrick Dr
Indian Harbour Beach, FL 32937-4400
Phone
(321) 727-2707
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT20318 FL Primary

Addresses

Primary practice location

2030 S Patrick Dr
Indian Harbour Beach, FL 32937-4400

Mailing address

408 5TH Ave
Indialantic, FL 32903-4280
Phone (321) 727-2707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221201000103 FL Practitioner - Physical Therapist in Private Practice 6406224104 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Go-PT IncGroup PAC ID 9032566799, 25 clinicians

Practice addresses (Care Compare)

900 E Indiantown Rd
Suite 100
Jupiter, FL 33477-5142
Phone (888) 627-2325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehab PT FL LLC Physical Therapist CurrentSince Nov 1, 2022 Accepting new patients
Go-PT Inc. Physical Therapist CurrentSince Aug 21, 2025 Accepting new patients

Locations

900 E Indiantown Rd
Ste 100
Jupiter, FL 33477
Phone (888) 627-2325

8450 Lockwood Ridge Rd
Sarasota, FL 34243
Phone (941) 216-3800

7 Carnegie Plz
Cherry Hill, NJ 08003

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1497798094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 5TH AVE",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329034280",
            "telephone_number": "321-727-2707",
            "fax_number": "321-409-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 S PATRICK DR",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374400",
            "telephone_number": "321-727-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLICK",
        "first_name": "HEATHER",
        "name_prefix": "Ms.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT20318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Harbour Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.