Individual provider Active NPI

Laurie Heapes, MS,PT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1669502076
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
013624-1 Issued in NY
Practice address
1877 Ocean Ave
Brooklyn, NY 11230-6867
Phone
(718) 258-2737
Fax
(718) 258-2737
NPI assigned
Mar 6, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 013624-1 NY Primary

Addresses

Primary practice location

1877 Ocean Ave
Brooklyn, NY 11230-6867

Mailing address

483 Barlow Ave
Staten Island, NY 10308-1202
Phone (718) 948-5603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040810000405 NY Practitioner - Physical Therapist in Private Practice 5294707311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
May accept Medicare assignment
Group practices
J. Lamendola Physical Therapy, P.C.Group PAC ID 6800141565, 13 clinicians

Practice addresses (Care Compare)

236 Richmond Valley Rd
Suite 16
Staten Island, NY 10309-2672
Phone (718) 816-6500

4236 Hylan Blvd
Staten Island, NY 10312-6540
Phone 71881665001003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
013624-1NYMDPhysical Therapist
013624NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
J. Lamendola Physical Therapy, P.C. Physical Therapist CurrentSince Mar 1, 2023 Accepting new patients
Allcare Physical Therapy Past Accepting new patients
MFS Orthopedics PC PastSince Jul 5, 2020 Accepting new patients
Allcare Physical Therapy LLC PastSince Mar 16, 2006 Accepting new patients

Locations

236 Richmond Valley Rd
Ste 16
Staten Island, NY 10309

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669502076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 BARLOW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103081202",
            "telephone_number": "718-948-5603",
            "fax_number": "718-258-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1877 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306867",
            "telephone_number": "718-258-2737",
            "fax_number": "718-258-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAPES",
        "first_name": "LAURIE",
        "name_prefix": "Mrs.",
        "credential": "MS,PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "013624-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.