Individual provider Active NPI

Heidi Leigh Hammil, PT

  • Physical Therapist
  • Fort Myers Beach, FL
National Provider Identifier
1689169617
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT34335 Issued in FL
Practice address
7205 Estero Blvd Unit 5
Fort Myers Beach, FL 33931-4786
Phone
(239) 314-5118
Fax
(239) 314-5118
NPI assigned
Jun 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH9154 AL
Physical Therapist 225100000X 14181 WI
Physical Therapist 225100000X PT34335 FL Primary

Addresses

Primary practice location

7205 Estero Blvd Unit 5
Fort Myers Beach, FL 33931-4786

Mailing address

7205 Estero Blvd Unit 5
Fort Myers Beach, FL 33931-4786
Phone (239) 314-5118

Other practice location 1

1894 37th St SE
Saint Cloud, MN 56304-9508
Phone (320) 267-6148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191230002206 FL Practitioner - Physical Therapist in Private Practice 5597002741 Reassigns benefits to 1 organization
I20230105002542 WI Practitioner - Physical Therapist in Private Practice 5597002741 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH9154ALMDPhysical Therapist
PT34335FLMDPhysical Therapist
14181WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health System Corporation CurrentSince Nov 28, 2022 Accepting new patients
Mercy Health System Corporation Current Accepting new patients
Islandfit Physical Therapy and Wellness LLC CurrentSince Nov 1, 2019 Accepting new patients
Fox Rehabilitation Services Wi LLC Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients
Mercy Health System Corporation CurrentSince Nov 28, 2022 Accepting new patients
Islandfit Physical Therapy and Wellness LLC CurrentSince Nov 1, 2019 Accepting new patients

Locations

11400 Summerlin Square Dr
Fort Myers Beach, FL 33931
Phone (239) 314-5118

7205 Estero Blvd
Unit 5
Fort Myers Beach, FL 33931
Phone (239) 314-5118

7205 Estero Blvd
#5
Ft Myers Bch, FL 33931
Phone (240) 888-1956

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

557 N Washington St
Janesville, WI 53548
Phone (608) 754-6000

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

Interoperability endpoints

  • Direct secure messaging: hhammil98428@direct.mhemail.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1689169617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7205 ESTERO BLVD UNIT 5",
            "city": "FORT MYERS BEACH",
            "state": "FL",
            "postal_code": "339314786",
            "telephone_number": "239-314-5118",
            "fax_number": "239-314-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 ESTERO BLVD UNIT 5",
            "city": "FORT MYERS BEACH",
            "state": "FL",
            "postal_code": "339314786",
            "telephone_number": "239-314-5118",
            "fax_number": "239-314-5118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1894 37th St SE",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "MN",
            "postal_code": "563049508",
            "country_code": "US",
            "telephone_number": "320-267-6148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMIL",
        "first_name": "HEIDI",
        "middle_name": "LEIGH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH9154",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "14181",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT34335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.