Active NPI
Brittni Zick, PT
- Physical Therapist
- Rockford, IL
National Provider Identifier
1548728538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070023880
- Practice address
- 5510 E State St
Rockford, IL 61108-2381 - Phone
- (815) 226-2000
- Fax
- (309) 655-4878
- NPI assigned
- Mar 8, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070023880 | IL | Primary |
Addresses
Primary practice location
5510 E State St
Rockford, IL 61108-2381
Mailing address
5510 E State St
Rockford, IL 61108-2381
Phone (815) 226-2000
Other names 1
- Brittni R Heavin
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 |
|---|---|---|---|
| 070023880 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552003200000",
"number": "1548728538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5510 E STATE ST",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611082381",
"telephone_number": "815-226-2000",
"fax_number": "309-655-4878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5510 E STATE ST",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611082381",
"telephone_number": "815-226-2000",
"fax_number": "309-655-4878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZICK",
"first_name": "BRITTNI",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-08",
"last_updated": "2019-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070023880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRITTNI",
"last_name": "HEAVIN",
"middle_name": "R",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.