Active NPI
Tracy Elizabeth Heaps, PT
- Physical Therapist
- Roseville, MN
National Provider Identifier
1932893161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 2945 Lincoln Dr
Roseville, MN 55113-1338 - Phone
- (651) 628-3620
- NPI assigned
- Jun 8, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | MN | Primary |
Addresses
Primary practice location
2945 Lincoln Dr
Roseville, MN 55113-1338
Mailing address
1728 Jefferson Ave
Saint Paul, MN 55105-2052
Phone (651) 247-5521
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2709 | MN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686182400000",
"number": "1932893161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1728 JEFFERSON AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551052052",
"telephone_number": "651-247-5521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2945 LINCOLN DR",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551131338",
"telephone_number": "651-628-3620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEAPS",
"first_name": "TRACY",
"middle_name": "ELIZABETH",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-08",
"last_updated": "2023-06-08",
"certification_date": "2023-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.