Christiane Elisabeth Heckeroth, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

43278 Issued in CA

Practice address

4737 El Camino Ave
Carmichael, CA 95608-4938

Phone

(916) 487-3473

Fax

(916) 487-3483

NPI assigned

Dec 1, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1770958886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4737 EL CAMINO AVE",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956084938",
            "telephone_number": "916-487-3473",
            "fax_number": "916-487-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4737 EL CAMINO AVE",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956084938",
            "telephone_number": "916-487-3473",
            "fax_number": "916-487-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECKEROTH",
        "first_name": "CHRISTIANE",
        "middle_name": "ELISABETH",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-01",
        "last_updated": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "43278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "2025 Morse Ave",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "95825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ryan Daniel Hauck
• Laura Ruth Hawkins
• Victor Lavonne Hawkins, DDS
• Karen Sue Haws, M.S.
• Bo He
• Amanda Skye Heineman, LMFT
• Helios Healthcare, LLC
• Shauna C Hembree
• Jonathan Arn Hemphill, MD
• Destanie B Henderson, RADT

• Physical Therapist in Carmichael, CA
• Providers in Carmichael, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.