Individual provider Active NPI

Heather Christine Law, PT, DPT, ATC, LAT

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1639530702
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-012927 Issued in AZ
Practice address
3090 N 3Rd Ave
Phoenix, AZ 85013-4402
Phone
(602) 745-2939
Fax
(602) 745-2963
NPI assigned
Mar 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1271261 TX
Physical Therapist 225100000X LPT-012927 AZ Primary

Addresses

Primary practice location

3090 N 3Rd Ave
Phoenix, AZ 85013-4402

Mailing address

3090 N 3Rd Ave
Phoenix, AZ 85013-4402
Phone (602) 745-2939

Other identifiers 1

IdentifierTypeStateIssuer
311736MedicaidAZ

Other names 1

  • Heather Christine Fariss Former name

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

LicenseStateTypeSpecialty
LPT-012927AZMDPhysical Therapist
1271261TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1639530702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3090 N 3RD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134402",
            "telephone_number": "602-745-2939",
            "fax_number": "602-745-2962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3090 N 3RD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134402",
            "telephone_number": "602-745-2939",
            "fax_number": "602-745-2963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAW",
        "first_name": "HEATHER",
        "middle_name": "CHRISTINE",
        "credential": "PT, DPT, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-16",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1271261",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-012927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "311736",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "FARISS",
            "middle_name": "CHRISTINE",
            "credential": "PT, DPT, ATC, LAT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; 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.