Heather Michele Ford, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13675 Issued in NC

Practice address

4008 Piedmont Pkwy
Suite 101
High Point, NC 27265

Phone

(336) 878-8970

Fax

(336) 878-8859

NPI assigned

May 8, 2007

Last updated

Aug 5, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 4

Other names 1

• Miss Heather Michele Gormley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1841403250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6202 HERONS NEST CT",
            "city": "OAK RIDGE",
            "state": "NC",
            "postal_code": "273106601",
            "telephone_number": "336-483-6313",
            "fax_number": "336-878-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4008 PIEDMONT PKWY",
            "address_2": "SUITE 101",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "27265",
            "telephone_number": "336-878-8970",
            "fax_number": "336-878-8859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8952 Crimson Oak Dr",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "410428674",
            "country_code": "US",
            "telephone_number": "859-384-8952",
            "fax_number": "859-384-4531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD",
        "first_name": "HEATHER",
        "middle_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "004633",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "9211",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "13675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PROVIDER LICENSE",
            "identifier": "13675",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP-212",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISENCE #",
            "identifier": "KY#004633",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISENCE #",
            "identifier": "9211",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "GORMLEY",
            "middle_name": "MICHELE",
            "prefix": "MISS",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Larissa Fogle
• Thomas Geoffrey Folk, M.D.
• Victoria Godwin Fonke, D.C.
• Mary Pierce Foote, DNP, FNP-C
• Charles Stephen Ford, MD
• Janet P. Ford, PT
• Jocelyn Ford
• Jane Forish, PHARMACIST
• Charles Samuel Forrester, PHARM.D.
• James Zachary Forsey, M.D.

• Physical Therapist in High Point, NC
• Providers in High Point, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.