Active NPI
Laura J Heckman, MPT
- Physical Therapist
- Oak Brook, IL
National Provider Identifier
1508929720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-011439
- Practice address
- 1600 16TH St Ste T14
Oak Brook, IL 60523-8848 - Phone
- (630) 572-9700
- Fax
- (630) 572-0706
- NPI assigned
- Dec 18, 2006
- Last updated
- Oct 20, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 21347 | MD | |
| Physical Therapist | 225100000X | 070-011439 | IL | Primary |
Addresses
Primary practice location
1600 16TH St Ste T14
Oak Brook, IL 60523-8848
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-1980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21347 | MD | MD | Physical Therapist |
Interoperability endpoints
- laura.heckman.p7@direct.athleticoltd.nextgenshare.com
- laura.heckman.p9@direct.athleticoltd.nextgenshare.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634688000000",
"number": "1508929720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 YORK RD STE 300",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231925",
"telephone_number": "630-575-1980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 16TH ST STE T14",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605238848",
"telephone_number": "630-572-9700",
"fax_number": "630-572-0706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HECKMAN",
"first_name": "LAURA",
"middle_name": "J",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2021-10-20",
"certification_date": "2021-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "21347",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-011439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Brook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.