Heather Ann Geddis, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

10323 Issued in NC

Practice address

658 Walston Dr
Wilmington, NC 28412-2683

Phone

(252) 327-0924

NPI assigned

Jan 23, 2007

Last updated

Oct 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1801940119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 WALSTON DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122683",
            "telephone_number": "252-327-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 WALSTON DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122683",
            "telephone_number": "252-327-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEDDIS",
        "first_name": "HEATHER",
        "middle_name": "ANN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "10323",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NC",
            "license": "10323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7212195",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "068EC",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bonnie Ellen Gaynor, MSW, ACSW
• Ayman Gebrail, M.D.
• Rami Gebrail, MD
• Tesfa-Alem Gebremeskel, MD
• Noel Gebresenbet
• Alfreda Paschall Gee, LCSW
• Gabriella Cohen Gee, MD
• Leann Lynette Geerts, O.D.
• Cody Gehl, MSW
• Sophia Julianna Gehman, PA-C

• Pediatric Physical Therapist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Pediatric Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.