Individual provider Active NPI

Heather Marie Niedzwiecki, DPT

  • Physical Therapist
  • Battle Creek, MI
National Provider Identifier
1780309898
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501302149 Issued in MI
Practice address
75 Minges Creek PL
Battle Creek, MI 49015-4201
Phone
(269) 979-6365
NPI assigned
Oct 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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 5501302149 MI Primary

Addresses

Primary practice location

75 Minges Creek PL
Battle Creek, MI 49015-4201

Mailing address

75 Minges Creek PL
Battle Creek, MI 49015-4201
Phone (269) 979-6365

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251122000785 MI Practitioner - Physical Therapist in Private Practice 7315439866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Physical Therapy Group LLCGroup PAC ID 8921065707, 35 clinicians

Practice addresses (Care Compare)

12849 N US Hwy 131
Suite 1
Schoolcraft, MI 49087-8901
Phone (269) 775-6020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501302149MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physical Therapy Group LLC Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients
Physiotherapy Associates Inc PastSince Oct 16, 2022 Accepting new patients
Physiotherapy Associates, Inc. PastSince Oct 16, 2022 Accepting new patients

Locations

601 Michigan Ave
Ste 220
Holland, MI 49423
Phone (616) 355-4284

5886 Venture Park Dr
Kalamazoo, MI 49009
Phone (269) 375-4737

12849 N US Highway 131
#1
Schoolcraft, MI 49087
Phone (269) 775-6020

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1780309898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 MINGES CREEK PL",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490154201",
            "telephone_number": "269-979-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MINGES CREEK PL",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490154201",
            "telephone_number": "269-979-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEDZWIECKI",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501302149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.