Heidi Peed, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5232 Issued in WI

Practice address

845 S Main St Ste 120
Fond Du Lac, WI 54935-6116

Phone

(920) 979-8531

NPI assigned

Apr 17, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Oasis Therapy Services LLC

  • Multi-Specialty Clinic/Center
  • Oshkosh, WI
  • NPI 1386381598

  Physical Therapist

  Medicare reassignment NPD
• Sundance Rehabilitation LLC

  • Rehabilitation Clinic/Center
  • Deforest, WI
  • NPI 1073912119

  Physical Therapist

  Medicare reassignment NPD
• Rehabcare Group East, LLC

  • Rehabilitation Clinic/Center
  • Greenfield, WI
  • NPI 1326099128
  NPD (past)
• Taylored Rehab, LLC

  • Physical Therapy Clinic/Center
  • Fond Du Lac, WI
  • NPI 1356485791

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1508030784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 S MAIN ST STE 120",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549356116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 S MAIN ST STE 120",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549356116",
            "telephone_number": "920-979-8531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEED",
        "first_name": "HEIDI",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "5232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40273900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Pautsch
• Jessica Pautsch, RN
• Gina Paveglio, RN
• Annamay Breann Payten, LPC
• April L Peaslee, APNP
• Karl Pennau, MD
• Nicholas Pentek
• Anthony Penton, LPC-IT
• Lydia Perez Kocis, DPT
• Michelle Perronne, NP

• Physical Therapist in Fond Du Lac, WI
• Providers in Fond Du Lac, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.