Active NPI
Dawn Elizabeth Leland-Heino, MOMT PT
- Physical Therapist
- Taos, NM
National Provider Identifier
1710022652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 612
- Practice address
- #221 Este Es Rd.
Box 5720
Taos, NM 87571 - Phone
- (505) 751-0678
- NPI assigned
- Feb 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 612 | NM | Primary |
| Physical Therapist | 225100000X | 2115 | MN |
Addresses
Primary practice location
#221 Este Es Rd.
Box 5720
Taos, NM 87571
Mailing address
#221 Este Es Rd.
Box 5720
Taos, NM 87571
Phone (505) 751-0678
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 612 | NM | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710022652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "#221 ESTE ES RD.",
"address_2": "BOX 5720",
"city": "TAOS",
"state": "NM",
"postal_code": "87571",
"telephone_number": "505-751-0678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "#221 ESTE ES RD.",
"address_2": "BOX 5720",
"city": "TAOS",
"state": "NM",
"postal_code": "87571",
"telephone_number": "505-751-0678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LELAND-HEINO",
"first_name": "DAWN",
"middle_name": "ELIZABETH",
"credential": "MOMT PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "612",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "2115",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taos, NM
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.