Heather L Greenwell, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1148160 Issued in TX

Practice address

3551 Rodger Brooke Dr.
Ft. Sam Houston, TX 78234-4504

Phone

(210) 916-3400

NPI assigned

Oct 27, 2009

Last updated

Oct 25, 2019By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• National Staffing Solutions

  • Nursing Care Agency
  • Winter Park, FL
  • NPI 1376107441
  NPD (past)

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1548596414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 PALOMA DR APT 437",
            "city": "FLORESVILLE",
            "state": "TX",
            "postal_code": "781140016",
            "telephone_number": "210-379-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 RODGER BROOKE DR.",
            "city": "FT. SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-916-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 S. Sermoran Blvd",
            "address_2": "#110A National Staffing Solution",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "32792",
            "country_code": "US",
            "telephone_number": "800-521-9604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENWELL",
        "first_name": "HEATHER",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-27",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1148160",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Lynn Gray, NURSE PRACTITONER
• Stephen Edward Greefkens, D.O.
• Georgeanne Greene, LCSW
• Robert Greener, PA-C
• Sarah Nicole Greenwalt
• Brian Tuan Gregg, PHD, OTR/L, CHT
• Benjamin Griffin-Medellin
• Brandon Griffis, PA-C
• Sean Griffiths, DO
• Dennis Joseph Grill, PH.D.

• Physical Therapist in Fort Sam Houston, TX
• Providers in Fort Sam Houston, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; 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.