Individual provider Active NPI

Heidi Ann Piccione, P.T.

  • Physical Therapist
  • Riverview, FL
National Provider Identifier
1922109495
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19670 Issued in FL
Practice address
11375 Big Bend Rd
Riverview, FL 33579-7183
Phone
(813) 805-8167
Fax
(844) 214-1382
NPI assigned
Sep 26, 2006
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT19670 FL Primary

Addresses

Primary practice location

11375 Big Bend Rd
Riverview, FL 33579-7183

Mailing address

11375 Big Bend Rd
Riverview, FL 33579-7183
Phone (813) 805-8167

Other practice location 1

13330 Usf Laurel Dr
3rd Floor
Tampa, FL 33612
Phone (813) 974-8292

Other identifiers 4

IdentifierTypeStateIssuer
Y046ZOtherFLBLUE CROSS & BLUE SHIELD
014247000MedicaidFL
P00317235OtherFLRR MEDICARE
PT19670OtherFLPT LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040106000244 FL Practitioner - Physical Therapist in Private Practice 3476452731 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT19670FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Performance and Physical Therapies-Riverview, LLC Physical Therapist CurrentSince Jun 20, 2022 Accepting new patients
Ohi West Medical Group, LLC CurrentSince Mar 1, 2026 Accepting new patients
Ohi West Medical Group, LLC CurrentSince Mar 1, 2026 Accepting new patients
On the Go Therapy Services Inc Physical Therapist PastSince Jan 18, 2005 Accepting new patients
Garner Physical Therapy Center LLC Physical Therapist PastSince Sep 1, 2003 Accepting new patients
Key Rehab Inc Physical Therapist Past Accepting new patients

Locations

21756 State Road 54
Ste 102
Lutz, FL 33549
Phone (813) 279-6234

11375 Big Bend Rd
Riverview, FL 33579
Phone (813) 805-8167

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1922109495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11375 BIG BEND RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797183",
            "telephone_number": "813-805-8167",
            "fax_number": "844-214-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11375 BIG BEND RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797183",
            "telephone_number": "813-805-8167",
            "fax_number": "844-214-1382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13330 Usf Laurel Dr",
            "address_2": "3rd Floor",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "33612",
            "country_code": "US",
            "telephone_number": "813-974-8292",
            "fax_number": "813-974-0483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICCIONE",
        "first_name": "HEIDI",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT19670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "Y046Z",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014247000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00317235",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT19670",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.