Active NPI
Heidi Hudlow St. Amant, P.T.
- Physical Therapist
- Ocean Springs, MS
National Provider Identifier
1629157144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3373
- Practice address
- 8005 Clamshell Ave
Ocean Springs, MS 39564-7591 - Phone
- (228) 218-8848
- NPI assigned
- Nov 3, 2006
- 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 | PT3373 | MS | Primary |
Addresses
Primary practice location
8005 Clamshell Ave
Ocean Springs, MS 39564-7591
Mailing address
8005 Clamshell Ave
Ocean Springs, MS 39564-7591
Phone (228) 218-8848
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT3373 | MS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Assistive Technology Solutions, LLC | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapist
- Brandon, MS
- NPI 1568555803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629157144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8005 CLAMSHELL AVE",
"city": "OCEAN SPRINGS",
"state": "MS",
"postal_code": "395647591",
"telephone_number": "228-218-8848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8005 CLAMSHELL AVE",
"city": "OCEAN SPRINGS",
"state": "MS",
"postal_code": "395647591",
"telephone_number": "228-218-8848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST. AMANT",
"first_name": "HEIDI",
"middle_name": "HUDLOW",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT3373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ocean Springs, MS
- Southern Pharmacy Clinical Management
- Specialty Medical and Equipment LLC
- David Lamar Spencer Jr., M.D.
- Ashleigh Marie Spiers-Downs
- Spine Care Network Chiropractic Services, PA
- Christopher Caleb Stacy
- Sheree E. Starr, PH.D.
- Stat Medical Equipment & Supplies, LLC
- Gary Blake Steward, CRNA
- David Rutland Stewart
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.