Active NPI
Shawn Heck, PT, CHT
- Physical Therapist
- Warrenton, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 119324
- Practice address
- 605 E Booneslick Rd
Suite 3
Warrenton, MO 63383-2127 - Phone
- (636) 456-6350
- Fax
- (636) 456-6084
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 119324 | MO | Primary |
Addresses
Primary practice location
605 E Booneslick Rd
Suite 3
Warrenton, MO 63383-2127
Mailing address
2454 W Clay St
Saint Charles, MO 63301-2548
Phone (636) 916-4625
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00399992 | Other | MO | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Missouri, Columbia School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7483 Mexico Rd
Saint Peters, MO 63376-1304
Phone (636) 206-3654
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119324 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Axes Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Axes Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Babar Enterprises LLC | Physical Therapist | Past | Accepting new patients |
| Rueschhoff Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
Locations
1195 Hazel Ln
Farmington, MO 63640
Phone (573) 756-2937
1155 Hazel Ln
Farmington, MO 63640
Phone (573) 756-2937
4273 Keaton Crossing Blvd
O Fallon, MO 63368
Phone (636) 206-4225
7483 Mexico Rd
Saint Peters, MO 63376
Phone (636) 206-3654
5200 Executive Centre Pkwy
Ste 200
Saint Peters, MO 63376
Phone (636) 255-8750
21 Silo Dr
Union, MO 63084
Phone (636) 649-4131
2018 Phoenix Center Dr
Washington, MO 63090
Phone (314) 718-4560
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.
-
- Physical Therapy Clinic/Center
- O Fallon, MO
- NPI 1003280421
Physical Therapist
-
- Physical Therapy Clinic/Center
- Washington, MO
- NPI 1679032700
-
- Durable Medical Equipment & Medical Supplies
- Creve Coeur, MO
- NPI 1699530931
Physical Therapist
-
- Physical Therapist
- Warrenton, MO
- NPI 1548425002
-
- Physical Therapist
- Saint Louis, MO
- NPI 1437155314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345248000000",
"number": "1902857535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2454 W CLAY ST",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633012548",
"telephone_number": "636-916-4625",
"fax_number": "636-916-4628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 E BOONESLICK RD",
"address_2": "SUITE 3",
"city": "WARRENTON",
"state": "MO",
"postal_code": "633832127",
"telephone_number": "636-456-6350",
"fax_number": "636-456-6084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HECK",
"first_name": "SHAWN",
"credential": "PT, CHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2012-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "119324",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00399992",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warrenton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2012; 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.