Heather A Klicka, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2117270 Issued in TX

Practice address

2300 Louis Henna Blvd
Round Rock, TX 78664-2083

Phone

(970) 379-9950

NPI assigned

Mar 6, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mile High Physical Therapy, LLC

  • Specialist
  • Denver, CO
  • NPI 1114174109
  NPD (past)

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1548501190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3097 BLANTYRE BND",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786642078",
            "telephone_number": "970-379-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 LOUIS HENNA BLVD",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786642083",
            "telephone_number": "970-379-9950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "495 Uinta Way",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802307110",
            "country_code": "US",
            "telephone_number": "303-856-3299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLICKA",
        "first_name": "HEATHER",
        "middle_name": "A",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "0013048",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2117270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kisevi Residential Care Services, LLC
• Brian Kistenmacher, DDS
• William Thomas Kittleman, M.D.
• Elizabeth Urquhart Kleinschmidt, OT, CLT
• Elizabeth Allen Klekman, DPT
• Teresa Mai Klubak, FNP
• Katriel Knackstedt
• Melinda Alice Knapp, PT, DPT
• KND Development 59, LLC
• Lesly Scot Knight, CHIROPRACTIC DC

• Physical Therapy Assistant in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.