Heidi Baird, PT
Individual provider Active NPI Physical Therapist · Lyons, IL
NPI 1912470451 · NPPES record last updated Jan 8, 2019
Key facts
- NPI
- 1912470451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070.017564 (IL)
- Practice address
- 7848 Ogden Ave
Lyons, IL 60534-1389 - Phone
- (708) 447-6223
- NPI assigned
- Jan 8, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.017564 | IL | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.017564 | IL | Yes |
Addresses
Primary practice location
7848 Ogden Ave
Lyons, IL 60534-1389
Mailing address
499 S Parkside Ave
Elmhurst, IL 60126-3935
Other providers in Lyons, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2019. 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.