Kassidy Heeringa, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501302882 Issued in MI

Practice address

1910 E Apple Ave Ste G&H
Muskegon, MI 49442-4281

Phone

(231) 333-9148

NPI assigned

Aug 21, 2023

Last updated

Aug 21, 2023By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1619751872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 MAMARONECK AVE STE 140",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055224",
            "telephone_number": "914-295-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 E APPLE AVE STE G&H",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494424281",
            "telephone_number": "231-333-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEERINGA",
        "first_name": "KASSIDY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501302882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Heater-Deville, LPN
• Amya Heath, PA
• Terrell Kent Hebert, MD
• Megan Michelle Hecksel, CMA
• D'Andrea Marie Heeres, M.D.
• Jack Heethouse, D.O.
• James F Hegedus, DDS
• Theresa Ann Hegedus, DDS
• David Ryan Heger, D.O., PHARMD
• Molly Brianne Heger, PHARMD

• Physical Therapist in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.