Austin Heschong-Nippert, DPT
Individual provider Active NPI Physical Therapist · Roseville, CA
NPI 1689259590 · NPPES record last updated Mar 11, 2021
Key facts
- NPI
- 1689259590
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 299949 (CA)
- Practice address
- 1836 Hiawatha Dr
Roseville, CA 95747-4808 - Phone
- (916) 474-0369
- NPI assigned
- Mar 11, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- California Sports Physical Therapy Centers Inc
Practice addresses (Care Compare)
2217 Sunset Blvd
Suite 711
Rocklin, CA 95765-4783
Phone (916) 435-3500
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210428002899 | CA | Practitioner - Physical Therapist in Private Practice | 9638588833 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 299949 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Sports Physical Therapy Centers, Inc. | Physical Therapist | Current | Accepting new patients |
| California Sports Physical Therapy Centers, Inc. | Physical Therapist | Current |
Accepting new patients |
| California Sports Physical Therapy Centers Inc | Physical Therapist | Current |
Accepting new patients |
Locations
2217 Sunset Blvd
Ste 711
Rocklin, CA 95765
Phone (916) 435-3500
5910 Pacific Ave
#I
Stockton, CA 95207
Phone (209) 475-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 299949 | CA | Yes |
Addresses
Primary practice location
1836 Hiawatha Dr
Roseville, CA 95747-4808
Mailing address
1836 Hiawatha Dr
Roseville, CA 95747-4808
Phone (916) 474-0369
NPI Registry JSON
{
"created_epoch": "1615420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615420800000",
"number": "1689259590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1836 HIAWATHA DR",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "957474808",
"telephone_number": "916-474-0369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1836 HIAWATHA DR",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "957474808",
"telephone_number": "916-474-0369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HESCHONG-NIPPERT",
"first_name": "AUSTIN",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-11",
"last_updated": "2021-03-11",
"certification_date": "2021-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "299949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
- Karissa Ashley Hernandez
- Stephania Herrera-Vazquez
- Daniel E. Herron
- Julie L. Hersch
- Katherine E Herz
- Jennifer A Hess
- Lauralee S Hess
- Rebekah Leah Hesse
- Dana Heuer
- Charles James Daniel Hewell
All providers in Roseville, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.