Active NPI
Cera Anne Heitkamp, PT, DPT
- Physical Therapist
- Palm Harbor, FL
National Provider Identifier
1649634205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 31111
- Practice address
- 35095 US Highway 19 N
Suite 101
Palm Harbor, FL 34684-2686 - Phone
- (727) 475-5538
- NPI assigned
- Apr 11, 2016
- Sex
- Female
- Sole proprietor
- No
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.
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- C H O O S E Physical Therapy LLC
Practice addresses (Care Compare)
29605 US Hwy 19 N
Suite 150
Clearwater, FL 33761-1538
Phone (727) 797-7600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160627002624 | FL | Practitioner - Physical Therapist in Private Practice | 4284925926 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31111 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C.H.O.O.S.E. Physical Therapy LLC | Current | Accepting new patients |
Locations
29605 US Highway 19 N
Ste 150
Clearwater, FL 33761
Phone (727) 667-1857
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 31111 | FL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
35095 US Highway 19 N
Suite 101
Palm Harbor, FL 34684-2686
Mailing address
35095 US Highway 19 N
Suite 101
Palm Harbor, FL 34684-2686
Phone (727) 475-5538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 11, 2016.
{
"created_epoch": "1460332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460332800000",
"number": "1649634205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35095 US HIGHWAY 19 N",
"address_2": "SUITE 101",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346842686",
"telephone_number": "727-475-5538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35095 US HIGHWAY 19 N",
"address_2": "SUITE 101",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346842686",
"telephone_number": "727-475-5538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEITKAMP",
"first_name": "CERA",
"middle_name": "ANNE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-11",
"last_updated": "2016-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "31111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.