Active NPI
Terese Marie Schmidt-Heisig
- Kinesiotherapist
- Flagstaff, AZ
National Provider Identifier
1508565607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Kinesiotherapist
- Practice address
- 2717 N 4TH St Ste 120
Flagstaff, AZ 86004-1813 - Phone
- (928) 440-8494
- NPI assigned
- Feb 27, 2023
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dietary Manager | 132700000X | |||
| Health & Wellness Coach | 171400000X | |||
| Rehabilitation Practitioner | 225400000X | |||
| Massage Therapist | 225700000X | |||
| Kinesiotherapist | 226300000X | Primary |
Addresses
Primary practice location
2717 N 4TH St Ste 120
Flagstaff, AZ 86004-1813
Mailing address
2532 N 4TH St # 278
Flagstaff, AZ 86004-3712
Phone (602) 999-9974
Other names 1
- Terese Marie Montoya
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Your Vitality, LLC | Current | Accepting new patients |
Locations
2532 N 4th St
Flagstaff, AZ 86004
Phone (928) 226-1563
2717 N 4th St
Ste 120
Flagstaff, AZ 86004
Phone (520) 226-7191
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.
-
- Pain Clinic/Center
- Flagstaff, AZ
- NPI 1538860689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677456000000",
"number": "1508565607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2532 N 4TH ST # 278",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860043712",
"telephone_number": "602-999-9974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2717 N 4TH ST STE 120",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860041813",
"telephone_number": "928-440-8494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT-HEISIG",
"first_name": "TERESE",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-27",
"last_updated": "2023-02-27",
"certification_date": "2023-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "132700000X",
"taxonomy_group": "",
"desc": "Dietary Manager",
"state": null,
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "226300000X",
"taxonomy_group": "",
"desc": "Kinesiotherapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TERESE",
"last_name": "MONTOYA",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.