Active NPI
Heather D Carpenter, P.T.
- Physical Therapist
- Wayne, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00835000
- Practice address
- 1139 Hamburg Tpke
Wayne, NJ 07470-5055 - Phone
- (973) 315-5045
- NPI assigned
- May 6, 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 | 006409 | CT | |
| Physical Therapist | 225100000X | 40QA00835000 | NJ | Primary |
Addresses
Primary practice location
1139 Hamburg Tpke
Wayne, NJ 07470-5055
Mailing address
27 Lazarus Dr
Ledgewood, NJ 07852-2335
Phone (973) 886-5049
Other names 1
- Miss Heather D'Aunno
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | kredner@healthpro-heritage.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
175 Quaker Church Rd
Randolph, NJ 07869-1415
Phone (973) 293-5031
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006409 | CT | MD | Physical Therapist |
| 40QA00835000 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services Inc | Physical Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
Locations
872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995
407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331
175 Quaker Church Rd
Randolph, NJ 07869
Phone (973) 293-5031
1139 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 315-5045
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.
-
- Physical Therapist
- Saddle River, NJ
- NPI 1689022295
-
- Physical Therapist
- Independence, MO
- NPI 1871072462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666828800000",
"number": "1801008297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 LAZARUS DR",
"city": "LEDGEWOOD",
"state": "NJ",
"postal_code": "078522335",
"telephone_number": "973-886-5049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1139 HAMBURG TPKE",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074705055",
"telephone_number": "973-315-5045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "HEATHER",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-06",
"last_updated": "2022-10-27",
"certification_date": "2022-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "006409",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00835000",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "kredner@healthpro-heritage.com",
"affiliation": "N",
"address_1": "1139 Hamburg Tpke",
"city": "Wayne",
"state": "NJ",
"country_code": "US",
"postal_code": "074705055",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "D'AUNNO",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.