Heather L Wissel, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05007768A Issued in IN

Practice address

1020 11TH St # C
Tell City, IN 47586-2130

Phone

(812) 547-7770

Fax

(812) 547-7784

NPI assigned

Oct 12, 2006

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 identifiers 1

Other names 1

• Heather L Sermersheim Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Advanced Rehabilitation,Inc.

  • Rehabilitation Clinic/Center
  • Tell City, IN
  • NPI 1154319101
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942399704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 E COUNTRYWOOD EST",
            "city": "HUNTINGBURG",
            "state": "IN",
            "postal_code": "475429134",
            "telephone_number": "812-357-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 11TH ST # C",
            "city": "TELL CITY",
            "state": "IN",
            "postal_code": "475862130",
            "telephone_number": "812-547-7770",
            "fax_number": "812-547-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISSEL",
        "first_name": "HEATHER",
        "middle_name": "L",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05007768A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "05007768A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "SERMERSHEIM",
            "middle_name": "L",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert A Ward, MD
• Kandi M Weber, FNP-BC
• Aubrey R Welp, NP-C
• Werner Drug Co. Inc.
• Beth Ann Wilson
• Natalie R Young, P.T.

• Physical Therapist in Tell City, IN
• Providers in Tell City, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.