Kristopher Jon Heddings Jr., DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LPT-30214 Issued in AZ

Practice address

13657 W McDowell Rd Ste 218
Goodyear, AZ 85395-2603

Phone

(623) 935-5538

NPI assigned

Apr 3, 2019

Last updated

Apr 3, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Vibrantcare Outpatient Rehabilitation West Inc

  dba VibrantCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Phoenix, AZ
  • NPI 1114921871
  NPD (past)
• Vibrantcare Outpatient Rehabilitation West Inc

  dba VibrantCare Outpatient Rehabilitation - Tucson East

  • Physical Therapy Clinic/Center
  • Tucson, AZ
  • NPI 1699779223
  NPD (past)

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1659833044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9148 W QUAIL AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853825368",
            "telephone_number": "602-715-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13657 W MCDOWELL RD STE 218",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952603",
            "telephone_number": "623-935-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDDINGS",
        "first_name": "KRISTOPHER",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-30214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healing Edge NW (Healing Edge)
• Healthpointe PLLC
• Healthy Life Family Medicine, PLC
• Joan Brockway Hearns, RDN
• Joanna L Heck, NP
• Donella Hedges
• Ashley Ann Heid, D.M.D
• Kristinn Irene Heinrichs, PHD, PT, SCS, ATC
• Katrina L Heisley, DO
• Shirlee Helton, NURSE PRACTITIONER

• Physical Therapist in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.