Active NPI
Heidi E Herman, P.T.
- Physical Therapy Assistant
- Irmo, SC
National Provider Identifier
1811900533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 6844
- Practice address
- 1 Wellness Blvd
Suite 204
Irmo, SC 29063 - Phone
- (803) 749-0808
- Fax
- (803) 749-0308
- NPI assigned
- Aug 14, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 5501011935 | MI | |
| Physical Therapy Assistant | 225200000X | 6844 | SC | Primary |
Addresses
Primary practice location
1 Wellness Blvd
Suite 204
Irmo, SC 29063
Mailing address
1 Wellness Blvd
Suite 204
Irmo, SC 29063
Phone (803) 749-0808
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00235541 | Other | MI | RAILROAD MEDICARE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501011935 | MI | MD | Physical Therapist |
| 6844 | SC | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Probility Therapy Services | Physical Therapist | Past | Accepting new patients |
| Probility Therapy Services | Past | 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.
-
- Physical Therapist
- Ypsilanti, MI
- NPI 1164458543
-
- Rehabilitation Clinic/Center
- Ypsilanti, MI
- NPI 1952873689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528329600000",
"number": "1811900533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WELLNESS BLVD",
"address_2": "SUITE 204",
"city": "IRMO",
"state": "SC",
"postal_code": "29063",
"telephone_number": "803-749-0808",
"fax_number": "803-749-0308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WELLNESS BLVD",
"address_2": "SUITE 204",
"city": "IRMO",
"state": "SC",
"postal_code": "29063",
"telephone_number": "803-749-0808",
"fax_number": "803-749-0308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERMAN",
"first_name": "HEIDI",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-14",
"last_updated": "2018-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501011935",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "SC",
"license": "6844",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00235541",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Irmo, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.