Ehren Paul Heyer, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0258401 Issued in NY

Practice address

84 Cortland St.
Homer, NY 13077

Phone

(607) 749-2219

Fax

(607) 749-2286

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

No

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.

• Homer Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Homer, NY
  • NPI 1952627044

  NY, Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• PPN Ipa Inc

  • Physical Therapist
  • Homer, NY
  • NPI 1023823374
  NPD Authorized official
• Mauro-Bertolo Therapy SVCS PTPC

  • Physical Therapist
  • Cicero, NY
  • NPI 1962494930
  NPD (past)

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Homer Physical Therapy PC 3 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 21, 2021.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1497846844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 CORTLAND ST.",
            "city": "HOMER",
            "state": "NY",
            "postal_code": "13077",
            "telephone_number": "607-749-2219",
            "fax_number": "607-749-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 CORTLAND ST.",
            "city": "HOMER",
            "state": "NY",
            "postal_code": "13077",
            "telephone_number": "607-749-2219",
            "fax_number": "607-749-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEYER",
        "first_name": "EHREN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0258401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO",
            "identifier": "000158530",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000158530",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02565451",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Frost, LPN
• Grandma'S Wish
• Alison Jane Guy, RN
• Melissa Sue Harris, RN
• Matthew Douglas Hartl, COTA
• Kelly J Hirsch, FNP
• Homer Central School District
• Homer Chiropractic, PC
• Homer Physical Therapy, PC
• Katherine Hughes

• All providers in Homer, NY
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.