Individual provider Active NPI

Laine M Heisler, PTA

  • Physical Therapy Assistant
  • Hagerstown, MD
National Provider Identifier
1811786221
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A6017 Issued in MD
Practice address
19733 Leitersburg Pike Ste 102
Hagerstown, MD 21742-1484
Phone
(301) 714-0700
Fax
(301) 714-0703
NPI assigned
May 2, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A6017 MD Primary

Addresses

Primary practice location

19733 Leitersburg Pike Ste 102
Hagerstown, MD 21742-1484

Mailing address

19733 Leitersburg Pike Ste 102
Hagerstown, MD 21742-1484
Phone (301) 714-0700

Other practice location 1

18352 College Rd Unit 1
Hagerstown, MD 21740-1768
Phone (301) 880-3365

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
A6017MDMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Rehab Inc CurrentSince May 4, 2025 Accepting new patients

Locations

19733 Leitersburg Pike
Ste 102
Hagerstown, MD 21742
Phone (301) 714-0700

18352 College Rd
Unit 1
Hagerstown, MD 21740
Phone (301) 880-3365

Organizations & group practices 1

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": "1746144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1811786221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19733 LEITERSBURG PIKE STE 102",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217421484",
            "telephone_number": "301-714-0700",
            "fax_number": "301-714-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19733 LEITERSBURG PIKE STE 102",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217421484",
            "telephone_number": "301-714-0700",
            "fax_number": "301-714-0703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18352 College Rd Unit 1",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217401768",
            "country_code": "US",
            "telephone_number": "301-880-3365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEISLER",
        "first_name": "LAINE",
        "middle_name": "M",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-05-02",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A6017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; 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.