Individual provider Active NPI

Emi H Heisterkamp, DPT

  • Physical Therapist
  • Westminster, CO
National Provider Identifier
1881402444
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0020251 Issued in CO
Practice address
12110 Pecos St Ste 250
Westminster, CO 80234-2047
Phone
(720) 542-8737
NPI assigned
Dec 27, 2024
Last updated
Dec 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0020251 CO Primary

Addresses

Primary practice location

12110 Pecos St Ste 250
Westminster, CO 80234-2047

Mailing address

1350 40TH St Unit 718
Denver, CO 80205-5476
Phone (858) 449-1130

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

LicenseStateTypeSpecialty
0020251COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Speech Therapy Associates CurrentSince Dec 29, 2024 Accepting new patients

Locations

12110 Pecos St
Ste 250
Westminster, CO 80234
Phone (303) 546-7921

Organizations & group practices 1

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": "1735257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1881402444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 40TH ST UNIT 718",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802055476",
            "telephone_number": "858-449-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12110 PECOS ST STE 250",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342047",
            "telephone_number": "720-542-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEISTERKAMP",
        "first_name": "EMI",
        "middle_name": "H",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-27",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0020251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.