Active NPI
Heather Lynne Fassell, MS,PT, DPT
- Physical Therapist
- Poughkeepsie, NY
National Provider Identifier
1649202912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0243131
- Practice address
- 1910 South Rd
Poughkeepsie, NY 12601-6027 - Phone
- (845) 454-0120
- Fax
- (845) 454-6080
- NPI assigned
- Jul 7, 2006
- Last updated
- Mar 28, 2013
- 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 | 0243131 | NY | Primary |
Addresses
Primary practice location
1910 South Rd
Poughkeepsie, NY 12601-6027
Mailing address
1910 South Rd
Poughkeepsie, NY 12601-6027
Phone (845) 454-0120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040331000633 | NY | Practitioner - Physical Therapist in Private Practice | 6002808094 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0243131 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gotham City Sports Medicine, PLLC | Current | Accepting new patients | |
| Physical Therapy Associates of Schenectady | Physical Therapist | Past | Accepting new patients |
| Physical Therapy Associates of Schenectady, P.C. | Physical Therapist | Past | Accepting new patients |
| Physical Therapy Associates of Schenectady, PC | Physical Therapist | Past | Accepting new patients |
| Physical Therapy Associates of Schenectady, P.C. | Physical Therapist | Past | Accepting new patients |
| Sovereign Medical Group LLC | Past | Accepting new patients |
Locations
50 Mount Prospect Ave
Ste 104
Clifton, NJ 07013
Phone (973) 928-1325
20 E 46th St
New York, NY 10017
Phone (212) 353-0030
20 E 46th St
Rm 600
New York, NY 10017
Phone (973) 928-1325
Organizations & group practices 6
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.
-
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- New York, NY
- NPI 1588085757
-
- Physical Therapist
- Clifton Park, NY
- NPI 1093896755
-
- Physical Therapist
- West Sand Lake, NY
- NPI 1124101977
-
- Physical Therapist
- Niskayuna, NY
- NPI 1477637569
-
- Physical Therapist
- Ballston Spa, NY
- NPI 1225346448
-
- Urology Physician
- Oradell, NJ
- NPI 1710282082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364428800000",
"number": "1649202912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 SOUTH RD",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126016027",
"telephone_number": "845-454-0120",
"fax_number": "845-454-6080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 SOUTH RD",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126016027",
"telephone_number": "845-454-0120",
"fax_number": "845-454-6080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FASSELL",
"first_name": "HEATHER",
"middle_name": "LYNNE",
"name_prefix": "Mrs.",
"credential": "MS,PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2013-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "0243131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.