Heather Michelle Fitzgerald, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT39890 Issued in CA

Practice address

2755 Bristol St
Suite 130
Costa Mesa, CA 92626-5985

Phone

(714) 966-2950

Fax

(714) 557-2487

NPI assigned

Mar 8, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1362700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383436800000",
    "number": "1518208909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4482 BARRANCA PKWY",
            "address_2": "SUITE 195",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926047701",
            "telephone_number": "949-679-3337",
            "fax_number": "949-679-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 BRISTOL ST",
            "address_2": "SUITE 130",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265985",
            "telephone_number": "714-966-2950",
            "fax_number": "714-557-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "HEATHER",
        "middle_name": "MICHELLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-08",
        "last_updated": "2013-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT39890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Anthony Fiorella
• First Responders of California LLC
• Dena Fisher, RD
• Keshawna Fisher
• Mary Leona Fisher, 16/1964
• Deidre Fitzpatrick, RN
• Lara Yen Fitzpatrick
• Farah Lyn Flahive
• Susan Lynn Flaming
• Paul Flanagan, M.D.

• Physical Therapist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.