Linda P Heinzelman PTPC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

004509-1 Issued in NY

Legal business name

LINDA P HEINZELMAN PTPC

Practice address

484 Glen St
Glens Falls, NY 12801-2976

Phone

(518) 798-1269

Fax

(518) 792-9095

NPI assigned

Sep 14, 2007

Last updated

Sep 28, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Linda P Heinzelman, PT

Title

Owner

Phone

(518) 798-1269

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1659566461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 GLEN ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128012976",
            "telephone_number": "518-798-1269",
            "fax_number": "518-792-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 GLEN ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128012976",
            "telephone_number": "518-798-1269",
            "fax_number": "518-792-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA P HEINZELMAN PTPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "HEINZELMAN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-798-1269",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "004509-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00806588",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Glens Falls, NY
• Providers in Glens Falls, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.

Verify at the official NPI Registry.