Active NPI
Steven Heggernes, PT
- Physical Therapist
- New Richmond, WI
National Provider Identifier
1841623972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12383-24
- Practice address
- 575 Hospital Road
New Richmond, WI 54017-1467 - Phone
- (715) 243-3940
- Fax
- (715) 243-3941
- NPI assigned
- Aug 13, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12383-24 | WI | Primary |
Addresses
Primary practice location
575 Hospital Road
New Richmond, WI 54017-1467
Mailing address
1127 W 8TH St
New Richmond, WI 54017-1467
Phone (715) 243-3940
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12383-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376352000000",
"number": "1841623972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1127 W 8TH ST",
"city": "NEW RICHMOND",
"state": "WI",
"postal_code": "540171467",
"telephone_number": "715-243-3940",
"fax_number": "715-243-3941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 HOSPITAL ROAD",
"city": "NEW RICHMOND",
"state": "WI",
"postal_code": "540171467",
"telephone_number": "715-243-3940",
"fax_number": "715-243-3941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEGGERNES",
"first_name": "STEVEN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-13",
"last_updated": "2013-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "12383-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Richmond, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.