Heather Robertson, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1183 Issued in NM

Practice address

826 Camino del Monte Rey
Suite B3
Santa Fe, NM 87505-3977

Phone

(505) 983-4882

Fax

(505) 983-9882

NPI assigned

Oct 3, 2006

Last updated

Apr 10, 2012By 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 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Bodywise Physical Therapy , LLC

  • Physical Therapist
  • Santa Fe, NM
  • NPI 1659425809
  Authorized official Same address or phone

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334016000000",
    "number": "1619062932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 LA PLACITA CIR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054009",
            "telephone_number": "505-992-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 CAMINO DEL MONTE REY",
            "address_2": "SUITE B3",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053977",
            "telephone_number": "505-983-4882",
            "fax_number": "505-983-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "HEATHER",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "1183",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NM",
            "license": "1183",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NM",
            "license": "1183",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP PROVIDER NUMBER",
            "identifier": "610375300",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "NM00Q545",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cody Roberts, CPSW
• Danielle Renee Roberts
• Howard William Roberts IV, CRNA
• Lauren Michelle Roberts, LMHC
• Priscilla Cummings Roberts, PH.D.
• Steven Craig Robeson, M.D.
• Barbara A Robidoux, LADAC, MA
• Maureen T Robins X, DOM
• Alix Irene Robinson
• Lu Ann Robinson, PTA, LMT, LMHC

• Physical Therapist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.