Joan Heebink, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2132-19 Issued in WI

Practice address

1320 Wisconsin St
Hudson, WI 54016-1861

Phone

(715) 386-4528

NPI assigned

Jun 4, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1861872830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 47TH AVE",
            "city": "BALDWIN",
            "state": "WI",
            "postal_code": "540022839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 WISCONSIN ST",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540161861",
            "telephone_number": "715-386-4528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEEBINK",
        "first_name": "JOAN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "2132-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saoirse Nicole Hayes, PHARMD
• Hazelden Betty Ford Foundation
• Healthmax Chiropractic of Hudson, LLC
• Heartwood Holistic Counseling
• Priscilla Ann Hedberg, M.D.
• Allison B. Heeter-Condon, MA, LMFT
• Peter D Heimdahl II
• Megan Proffitt Hejny, DC
• Adrianna Heldman
• Hannah Helgeson

• Physical Therapy Assistant in Hudson, WI
• Providers in Hudson, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.