Amy Jetelina Heinrich

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

0682378 Issued in TX

Practice address

8570 Katy Fwy Ste 116
Houston, TX 77024-1865

Phone

(832) 831-4188

NPI assigned

May 12, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• PTW Illum

  • Physical Therapist
  • Houston, TX
  • NPI 1700423340
  NPD
• Revolve Physical Therapy LP

  dba Revolve Physical Therapy

  • Physical Therapy Assistant
  • Houston, TX
  • NPI 1306349089
  NPD

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1922620087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 CHAMBOARD LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770183212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8570 KATY FWY STE 116",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241865",
            "telephone_number": "832-831-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINRICH",
        "first_name": "AMY",
        "middle_name": "JETELINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-12",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "0682378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Heinle, PSYD
• Jeffrey S Heinle, MD
• Sheila Heinle, MD
• Mary Joan Heinly, PA
• Samantha Caroline Heinly, LCSW
• Sarah Henriette Heins, PA-C
• Charles Clyde Heinsz III
• Courtney Heintz, CRNA
• Kelly Heintz, PT
• Stefanie Agan Heintz, M.S. CCC-SLP

• Physical Therapy Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.