Heather D Christlieb, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05007314A Issued in IN

Practice address

312 E Dupont Rd
Suite 101
Fort Wayne, IN 46825

Phone

(260) 483-1010

Fax

(260) 483-1011

NPI assigned

Sep 15, 2006

Sex

Female

Sole proprietor

Yes

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 IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hands on Physical Therapy LLCGroup PAC ID 5092802041, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Hands on Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Fort Wayne, IN
  • NPI 1033305750

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Grit and Grace Counseling LLC

  • Mental Health Counselor
  • Fort Wayne, IN
  • NPI 1871244657
  NPD

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1508962028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E DUPONT RD",
            "address_2": "SUITE 101",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46825",
            "telephone_number": "260-483-1010",
            "fax_number": "260-483-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E DUPONT RD",
            "address_2": "SUITE 101",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46825",
            "telephone_number": "260-483-1010",
            "fax_number": "260-483-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTLIEB",
        "first_name": "HEATHER",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05007314A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000536911",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janis Lorraine Chrissikos, RN, BSN, MSN, CNM
• Michael Christian
• Christina Stapleton, L.L.C
• Christina Stemmler, LLC
• Anna Christlieb
• Jilian Christlieb
• Christman Consulting, LLC
• Chad Steven Christman, D.O.
• Jesse Christman, PHARMD
• Kristen Elizabeth Christman, PHARMD

• Physical Therapist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.