Alicia Michelle Heading, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501013365 Issued in MI

Practice address

2524 W Wackerly St
Midland, MI 48640-6921

Phone

(989) 423-1240

Fax

(989) 423-1243

NPI assigned

May 4, 2010

Last updated

Jul 19, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Alicia Michelle Kontry/Flachs Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Renue 009 Midland LLCGroup PAC ID 1557596376, 4 clinicians

Renue 012 Essexville LLCGroup PAC ID 7618211236, 9 clinicians

Renue 004 Bridgeport LLCGroup PAC ID 4183850266, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Renue 004 Bridgeport, LLC

  dba Renue Physical Therapy

  • Physical Therapist
  • Bridgeport, MI
  • NPI 1952740466
  Medicare reassignment Care Compare group NPD
• Renue 009 Midland LLC

  dba Renue Physical Therapy

  • Physical Therapy Clinic/Center
  • Midland, MI
  • NPI 1174963961

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Renue 012 Essexville, LLC

  dba Renue Physical Therapy

  • Physical Therapist
  • Bay City, MI
  • NPI 1548740871
  Medicare reassignment Care Compare group
• Renue 001 Freeland LLC

  dba Renue Physical Therapy

  • Physical Therapy Clinic/Center
  • Freeland, MI
  • NPI 1922385707

  Physical Therapist

  Medicare reassignment NPD
• Renue 002 Bay City LLC

  • Physical Therapy Clinic/Center
  • Bay City, MI
  • NPI 1922379320

  Physical Therapist

  Medicare reassignment NPD
• Renue 003 Saginaw LLC

  dba Renue Physical Therapy

  • Physical Therapist
  • Saginaw, MI
  • NPI 1578845285
  Medicare reassignment NPD
• Renue 006 Saginaw State St LLC

  • Physical Therapist
  • Saginaw, MI
  • NPI 1871835405
  Medicare reassignment NPD
• Renue 018 Tawas, LLC

  • Physical Therapy Clinic/Center
  • Tawas City, MI
  • NPI 1790452043

  Physical Therapist

  Medicare reassignment NPD
• Mymichigan Medical Center Midland

  • Anesthesiology Physician
  • Midland, MI
  • NPI 1649010455
  NPD (past)

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1912224742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 W WACKERLY ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406921",
            "telephone_number": "989-423-1240",
            "fax_number": "989-423-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 W WACKERLY ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406921",
            "telephone_number": "989-423-1240",
            "fax_number": "989-423-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEADING",
        "first_name": "ALICIA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-04",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501013365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "KONTRY/FLACHS",
            "middle_name": "MICHELLE",
            "prefix": "MS.",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christine Nicole Hawkins, DPT
• Emma Haycock, CPHT
• Terri Lynn Hayes, LPN
• Head Injury Therapy Services Inc.
• Paula Reif Headbloom, M.D.
• Healing Connections LLC
• Healing Journey Counseling PLLC
• Health First Chiropractic Clinic of Midland, P.C.
• Healthspan Physical Therapy and Wellness PLLC
• Healthway Chiropractic Clinic, P.C.

• Physical Therapist in Midland, MI
• Providers in Midland, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.