Individual provider Active NPI

Heather Renae Nichting

  • Physical Therapist
  • Pittsford, NY
National Provider Identifier
1700805728
Registry record updated Dec 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
026504-1 Issued in NY
Practice address
3819 Monroe Ave
Pittsford, NY 14534-1336
Phone
(585) 586-3819
Fax
(866) 463-1081
NPI assigned
Jul 19, 2006
Last updated
Dec 2, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2012

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 026504-1 NY Primary

Addresses

Primary practice location

3819 Monroe Ave
Pittsford, NY 14534-1336

Mailing address

3819 Monroe Ave
Pittsford, NY 14534-1336
Phone (585) 586-3819

Other identifiers 2

IdentifierTypeStateIssuer
00355344MedicaidNY
1142154OtherNYCAQH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070714000124 NY Practitioner - Physical Therapist in Private Practice 1153421557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regain Physical Therapy PLLCGroup PAC ID 3971766676, 10 clinicians

Practice addresses (Care Compare)

3819 Monroe Ave
Pittsford, NY 14534-1336
Phone (585) 586-3819

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
026504-1NYMDPhysical Therapist
026504NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Finger Lakes United Cerebral Palsy, Inc. Past Accepting new patients
United Cerebral Palsy Association of the Rochester Area, Inc. PastSince Oct 1, 2005 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hnichting@regainpt.direct.rrhio.org
  • Direct secure messaging: regainpt@regainpt.direct.rrhio.org

Organizations & group practices 3

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354406400000",
    "number": "1700805728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3819 MONROE AVE",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145341336",
            "telephone_number": "585-586-3819",
            "fax_number": "866-463-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3819 MONROE AVE",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145341336",
            "telephone_number": "585-586-3819",
            "fax_number": "866-463-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHTING",
        "first_name": "HEATHER",
        "middle_name": "RENAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2012-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "026504-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00355344",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "1142154",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2012; 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.