Heitmann Physical Therapy and Wellness

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

HEITMANN PHYSICAL THERAPY AND WELLNESS

Practice address

6008 Sunset Ridge CT
Centreville, VA 20121-3051

Phone

(703) 928-6673

NPI assigned

Jun 2, 2020

Last updated

Jun 2, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tyrone Heitmann, MPTNPI 1285764753

Title

Owner

Phone

(703) 928-6673

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tyrone Dominic Heitmann, PT

  • Physical Therapist
  • Fairfax, VA
  • NPI 1285764753
  NPD Authorized official

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1942824297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6008 SUNSET RIDGE CT",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201213051",
            "telephone_number": "703-928-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6008 SUNSET RIDGE CT",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201213051",
            "telephone_number": "703-928-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEITMANN PHYSICAL THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "HEITMANN",
        "authorized_official_first_name": "TYRONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-928-6673",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "theitmann@verizon.net",
            "affiliation": "N",
            "address_1": "6008 Sunset Ridge Ct",
            "city": "Centreville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201213051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Health and Rehab Chiropractic, LLC
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• Health Up
• Marc Heffron, DPT, PT
• Laura Marie Heflin, MA SLP
• Monica Hesham
• HG Dental Associates
• Samara J Hicks
• Abigail Crisman Ho, FNP-C
• Mary Lee Holley-Cerillo, LCSW

• Physical Therapy Clinic/Center in Centreville, VA
• Providers in Centreville, VA by specialty
• Physical Therapy Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.