Heidi Hansen Burgess, PT
Individual provider Active NPI Physical Therapist · Buckley, MI
NPI 1891992244 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1891992244
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501002960 (MI)
- Practice address
- 10199 Samson Woods Dr
Buckley, MI 49620-9592 - Phone
- (231) 269-4359
- NPI assigned
- Jun 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501002960 | MI | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501002960 | MI | Yes |
Addresses
Primary practice location
10199 Samson Woods Dr
Buckley, MI 49620-9592
Mailing address
10199 Samson Woods Dr
Buckley, MI 49620-9592
Phone (231) 269-4359
Other providers in Buckley, MI
- Ashley Ann Bach
- Heidi Fite
- Gregory G North PHD PC
- Mitzie Jean Hewitt
- Luke Brandon Holly
- Joan M Ledford
All providers in Buckley, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.