Mark Hedberg, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05012730A Issued in IN

Practice address

220 Lakeview Dr Ste 14
Noblesville, IN 46060-1210

Phone

(317) 776-1061

Fax

(317) 776-1172

NPI assigned

Jul 18, 2006

Last updated

Aug 20, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hamilton County ChiropracticGroup PAC ID 0941302285, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Hamilton County Chiropractic

  dba Midwest Sport and Spine Center

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Noblesville, IN
  • NPI 1285797746
  Medicare reassignment Care Compare group
• Dyer Chiropractic Clinic P C

  • Rehabilitation Chiropractor
  • Greenwood, IN
  • NPI 1881870814
  NPD (past)
• Heit Health and Wellness Center Inc

  • Physical Medicine & Rehabilitation Physician
  • Rockford, IL
  • NPI 1922478981
  NPD (past)
• Neck to Back Lake County LLC

  • Emergency Care Clinic/Center
  • Lake Bluff, IL
  • NPI 1750506077
  NPD (past)
• Neck to Back Rockford LLC

  • Family Medicine Physician
  • Rockford, IL
  • NPI 1427004084
  NPD (past)
• Rockford Pain Management LTD

  • General Practice Physician
  • Rockford, IL
  • NPI 1174885107
  NPD (past)
• Spinal Rehabilitation and Wellness Clinic, LLC

  dba Neck to Back Medical Clinic

  • Family Medicine Physician
  • Rockford, IL
  • NPI 1376789545
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1740208560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 LAKEVIEW DR",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460601210",
            "telephone_number": "317-776-1061",
            "fax_number": "317-776-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 LAKEVIEW DR STE 14",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460601210",
            "telephone_number": "317-776-1061",
            "fax_number": "317-776-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDBERG",
        "first_name": "MARK",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05012730A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200010295",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hearn Family Dentistry P.C.
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• Cami Heath
• Sarah Heckman, FNP-BC
• Alina E Hedberg, APRN, FNP
• Stephani Lyn Hedrick, RPH
• Jessica Heeb
• Madisyn Heilmann
• Samuel Rodney Heiser, M.D.
• Michael Heitholt, D.C.

• Physical Therapist in Noblesville, IN
• Providers in Noblesville, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.