Active NPI
Talya Lori Heckman, PT, DPT
- Physical Therapist
- Salem, VA
National Provider Identifier
1609323971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305210365
- Practice address
- 126 Mill LN
Salem, VA 24153-3102 - Phone
- (540) 387-4311
- NPI assigned
- Sep 5, 2016
- 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 | 2305210365 | VA | Primary |
Addresses
Primary practice location
126 Mill LN
Salem, VA 24153-3102
Mailing address
1118 Westside Dr
Fergus Falls, MN 56537-2638
Phone (218) 205-4200
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 |
|---|---|---|---|
| 2305210365 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473033600000",
"number": "1609323971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1118 WESTSIDE DR",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "565372638",
"telephone_number": "218-205-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 MILL LN",
"city": "SALEM",
"state": "VA",
"postal_code": "241533102",
"telephone_number": "540-387-4311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HECKMAN",
"first_name": "TALYA",
"middle_name": "LORI",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-05",
"last_updated": "2016-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305210365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.