Individual provider Active NPI

Katie Newcomb-Heffer, PT

  • Physical Therapist
  • Newark, DE
National Provider Identifier
1891997086
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4051 Ogletown Rd
Ste 104
Newark, DE 19713-3101
Phone
(302) 894-1600
Fax
(302) 894-1601
NPI assigned
Jun 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 25909 MD
Physical Therapist 225100000X DE Primary

Addresses

Primary practice location

4051 Ogletown Rd
Ste 104
Newark, DE 19713-3101

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222

Other identifiers 5

IdentifierTypeStateIssuer
50700092OtherNCA
888760504OtherNCA
1891997086MedicaidDE
11797345OtherCAQH
2873772000OtherAMERIHEALTH/IBC

Other names 1

  • Katie Newcomb Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080226000431 DE Practitioner - Physical Therapist in Private Practice 0143304477 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Callaway Franceschini LLCGroup PAC ID 4880024496, 25 clinicians
First State Orthopaedics PAGroup PAC ID 6103800057, 97 clinicians

Practice addresses (Care Compare)

750 Prides Xing
Suite 112
Newark, DE 19713-6107
Phone (302) 864-2222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25909MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Callaway Franceschini LLC Physical Therapist CurrentSince Aug 14, 2020 Accepting new patients
Callaway Franceschini LLC Physical Therapist CurrentSince Aug 14, 2020 Accepting new patients
First State Orthopaedics PA Physical Therapist CurrentSince Jan 1, 2026 Accepting new patients
First State Orthopaedics PA Physical Therapist CurrentSince Jan 1, 2026 Accepting new patients
First State Orthopaedics, PA Physical Therapist Past Accepting new patients

Locations

1030 Forrest Ave
Ste 105A
Dover, DE 19904
Phone (302) 268-8880

601 Tower Ln
Ste 202
Middletown, DE 19709
Phone (302) 268-8880

4745 Ogletown Stanton Rd
Ste 238
Newark, DE 19713

750 Prides Xing
Ste 112
Newark, DE 19713
Phone (302) 864-2222

1722 Naamans Rd
Wilmington, DE 19810
Phone (302) 722-6419

Interoperability endpoints

  • Direct secure messaging: katie.newcombhefferptcht.p1@direct.fsoortho.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1891997086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2222",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4051 OGLETOWN RD",
            "address_2": "STE 104",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197133101",
            "telephone_number": "302-894-1600",
            "fax_number": "302-894-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWCOMB-HEFFER",
        "first_name": "KATIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25909",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCA",
            "identifier": "50700092",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCA",
            "identifier": "888760504",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891997086",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11797345",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH/IBC",
            "identifier": "2873772000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "NEWCOMB",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.