Active NPI
Michael J Heinz, MPT
- Orthopedic Physical Therapist
- Lee's Summit, MO
National Provider Identifier
1609984061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 2003020133
- Practice address
- 1535 NE Douglas St
Lees Summit, MO 64086-4611 - Phone
- (816) 347-1596
- NPI assigned
- Aug 27, 2006
- Last updated
- Jun 23, 2022
- 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 Therapist | 225100000X | 11-03542 | KS | |
| Orthopedic Physical Therapist | 2251X0800X | 2003020133 | MO | Primary |
Addresses
Primary practice location
1535 NE Douglas St
Lees Summit, MO 64086-4611
Mailing address
2817 NE Marywood LN
Lees Summit, MO 64086-7081
Phone (816) 645-3361
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2003020133 | Other | MO | LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3730 NE Troon Dr
Suite a
Lees Summit, MO 64064-1988
Phone (816) 602-5046
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-03542 | KS | MD | Physical Therapist |
| 2003020133 | MO | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prestige Hand and Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
3730 NE Troon Dr
Ste A
Lees Summit, MO 64064
Phone (816) 602-5046
Organizations & group practices 1
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.
-
- Hand Occupational Therapist
- Lee's Summit, MO
- NPI 1962272674
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655942400000",
"number": "1609984061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2817 NE MARYWOOD LN",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640867081",
"telephone_number": "816-645-3361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1535 NE DOUGLAS ST",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640864611",
"telephone_number": "816-347-1596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINZ",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-27",
"last_updated": "2022-06-23",
"certification_date": "2022-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-03542",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MO",
"license": "2003020133",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "2003020133",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lee's Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.