Active NPI
Daniel Michael Heithoff
- Orthotist
- Concord, NC
National Provider Identifier
1528214848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- CO005479
- Practice address
- 1025 Concord Pkwy N
Concord, NC 28027-5923 - Phone
- (704) 782-0908
- Fax
- (704) 786-0469
- NPI assigned
- Aug 18, 2008
- Sex
- Male
- 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 Therapy Assistant | 225200000X | 001237 | IA | |
| Orthotist | 222Z00000X | CO005479 | Primary |
Addresses
Primary practice location
1025 Concord Pkwy N
Concord, NC 28027-5923
Mailing address
1025 Concord Pkwy N
Concord, NC 28027-5923
Phone (704) 782-0908
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001237 | IA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431302400000",
"number": "1528214848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 CONCORD PKWY N",
"city": "CONCORD",
"state": "NC",
"postal_code": "280275923",
"telephone_number": "704-782-0908",
"fax_number": "704-786-0469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 CONCORD PKWY N",
"city": "CONCORD",
"state": "NC",
"postal_code": "280275923",
"telephone_number": "704-782-0908",
"fax_number": "704-786-0469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEITHOFF",
"first_name": "DANIEL",
"middle_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-18",
"last_updated": "2015-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IA",
"license": "001237",
"primary": false
},
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": null,
"license": "CO005479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.