Individual provider Active NPI

Heike Fleuchaus, PTA

  • Physical Therapy Assistant
  • Flagstaff, AZ
National Provider Identifier
1659740892
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
11812A Issued in AZ
Practice address
1201 E Ponderosa Pkwy Apt 213
Flagstaff, AZ 86001-3383
Phone
(262) 719-5201
NPI assigned
Sep 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 11812A AZ Primary

Addresses

Primary practice location

1201 E Ponderosa Pkwy Apt 213
Flagstaff, AZ 86001-3383

Mailing address

1201 E Ponderosa Pkwy Apt 213
Flagstaff, AZ 86001-3383
Phone (262) 719-5201

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11812AAZMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442448000000",
    "number": "1659740892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E PONDEROSA PKWY APT 213",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013383",
            "telephone_number": "262-719-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E PONDEROSA PKWY APT 213",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013383",
            "telephone_number": "262-719-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEUCHAUS",
        "first_name": "HEIKE",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "11812A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.