Individual provider Active NPI

Hans C Heerens, P.T.

  • Physical Therapist
  • Roanoke, VA
National Provider Identifier
1811248958
Registry record updated Sep 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305203219 Issued in VA
Practice address
1919 Electric Rd Ste 1
Roanoke, VA 24018-1641
Phone
(540) 725-5300
Fax
(540) 725-5356
NPI assigned
Sep 28, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2012

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 2305203219 VA Primary

Addresses

Primary practice location

1919 Electric Rd Ste 1
Roanoke, VA 24018-1641

Mailing address

PO Box 21604
Roanoke, VA 24018-0162
Phone (276) 783-9035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2305203219VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spine and Orthopedic Rehab of VA Inc Physical Therapist Past Accepting new patients
Spine and Orthopedic Rehab Inc Physical Therapist PastSince Apr 22, 2002 Accepting new patients

Organizations & group practices 2

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": "1348790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1811248958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21604",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180162",
            "telephone_number": "276-783-9035",
            "fax_number": "276-783-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 ELECTRIC RD STE 1",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240181641",
            "telephone_number": "540-725-5300",
            "fax_number": "540-725-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEERENS",
        "first_name": "HANS",
        "middle_name": "C",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-28",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305203219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.