John Robert Hedstrom, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL0014683 Issued in CO

Practice address

2198 Lager St
Fort Collins, CO 80524

Phone

(612) 237-5760

NPI assigned

Oct 6, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1841660503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2198 LAGER ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243957",
            "telephone_number": "612-237-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2198 LAGER ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80524",
            "telephone_number": "612-237-5760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3128 Boxelder Dr",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820015808",
            "country_code": "US",
            "telephone_number": "307-634-7901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1653 Chalcedony St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921093136",
            "country_code": "US",
            "telephone_number": "612-237-5760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEDSTROM",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-06",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "1731",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "42883",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL0014683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas M Hecker, DPM
• Eric Christopher Heckman, PA-C
• Ashley Hedding, RN
• Heidi A Hedrick, MS
• Jennifer R Hedrick, LCSW
• Christine Heess, OTR/L
• Shawn-Patrick Hegner, PHARMD
• Alix Hegy
• Kaitlin Heidt
• Lisa Michelle Heifner, MS, LPC

• Physical Therapist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.