Individual provider Active NPI

Brandan Heller, P.T.

  • Athletic Trainer
  • Thornville, OH
National Provider Identifier
1811987480
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
1082 Issued in OH
Practice address
8745 Blackbird LN
Thornville, OH 43076-9515
Phone
(740) 246-5483
NPI assigned
Oct 25, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 8924 OH
Athletic Trainer 2255A2300X 1082 OH Primary

Addresses

Primary practice location

8745 Blackbird LN
Thornville, OH 43076-9515

Mailing address

8745 Blackbird LN
Thornville, OH 43076-9515
Phone (740) 246-5483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040625001150 OH Practitioner - Physical Therapist in Private Practice 4587640958 Reassigns benefits to 1 organization

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
Terra Health LLCGroup PAC ID 0749297885, 2 clinicians

Practice addresses (Care Compare)

8745 Blackbird LN
Thornville, OH 43076-9515
Phone (740) 246-5483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8924OHMDOrthopedic Physical Therapist
1082OHMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Terra Health, LLC CurrentSince Jan 1, 2006 Accepting new patients
Terra Health Inc. PastSince Mar 1, 2006 Accepting new patients
MSM Partnership Past Accepting new patients

Locations

8745 Blackbird Ln
Thornville, OH 43076
Phone (740) 246-5483

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1811987480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8745 BLACKBIRD LN",
            "city": "THORNVILLE",
            "state": "OH",
            "postal_code": "430769515",
            "telephone_number": "740-246-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8745 BLACKBIRD LN",
            "city": "THORNVILLE",
            "state": "OH",
            "postal_code": "430769515",
            "telephone_number": "740-246-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLER",
        "first_name": "BRANDAN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "8924",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "1082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.

Verify at the official NPI Registry.