Individual provider Active NPI

Andrew Heidebrecht, DPT

  • Physical Therapist
  • Missouri City, TX
National Provider Identifier
1750751376
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1261812 Issued in TX
Practice address
5425 Highway 6 Ste D900
Missouri City, TX 77459-4384
Phone
(281) 208-9200
Fax
(281) 208-9210
NPI assigned
Sep 26, 2015
Last updated
May 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2023

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 1261812 TX Primary

Addresses

Primary practice location

5425 Highway 6 Ste D900
Missouri City, TX 77459-4384

Mailing address

5425 Highway 6 Ste D900
Missouri City, TX 77459-4384
Phone (281) 208-9200

Other practice location 1

4009 Bellaire Blvd Ste M
Houston, TX 77025-1168
Phone (713) 839-7800

Other practice location 2

17324A Highway 3
Webster, TX 77598-4133
Phone (281) 332-3000

Other practice location 3

11242 Fm 1960 Rd W Ste 104
Houston, TX 77065-3635
Phone (281) 469-8163

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161013000152 TX Practitioner - Physical Therapist in Private Practice 0244528958 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1261812TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Purple Healthcare Current Accepting new patients
Legion Physical Therapy Current Accepting new patients
Star Therapy Centers Limited Partnership Physical Therapist Current Accepting new patients
Action Therapy Centers Limited Past Accepting new patients

Locations

29615 FM 1093 Rd
Ste 2
Fulshear, TX 77441
Phone (281) 533-0507

4009 Bellaire Blvd
Ste M
Houston, TX 77025
Phone (713) 839-7800

Interoperability endpoints

  • Direct secure messaging: andrew.heidebrecht.1@19133.direct.athenahealth.com

Organizations & group practices 4

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": "1443225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1750751376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 HIGHWAY 6 STE D900",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594384",
            "telephone_number": "281-208-9200",
            "fax_number": "281-208-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 HIGHWAY 6 STE D900",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594384",
            "telephone_number": "281-208-9200",
            "fax_number": "281-208-9210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4009 Bellaire Blvd Ste M",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770251168",
            "country_code": "US",
            "telephone_number": "713-839-7800",
            "fax_number": "713-839-7931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17324A Highway 3",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984133",
            "country_code": "US",
            "telephone_number": "281-332-3000",
            "fax_number": "281-332-9171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11242 Fm 1960 Rd W Ste 104",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770653635",
            "country_code": "US",
            "telephone_number": "281-469-8163",
            "fax_number": "281-469-5559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEIDEBRECHT",
        "first_name": "ANDREW",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-26",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1261812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.