Active NPI
Heather Christine Law, PT, DPT, ATC, LAT
- Physical Therapist
- Phoenix, AZ
National Provider Identifier
1639530702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-012927
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 311736 | Medicaid | AZ |
Other names 1
- Heather Christine Fariss
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 |
|---|---|---|---|
| LPT-012927 | AZ | MD | Physical Therapist |
| 1271261 | TX | MD | Physical 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.