Christy Rose Heidema, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12872447-2401 Issued in UT

Practice address

5848 S 300 E
Murray, UT 84107-6157

Phone

(801) 314-4040

Fax

(801) 314-4043

NPI assigned

Jun 2, 2022

Last updated

Dec 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of MontanaGroup PAC ID 7719899889, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University of Montana

  dba University of Montana Physical Therapy Clinic

  • Physical Therapist
  • Missoula, MT
  • NPI 1578585592
  Medicare reassignment Care Compare group NPD
• University of Montana

  dba Health Service Pharmacy

  • Pharmacy
  • Missoula, MT
  • NPI 1366593345
  NPD

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1952040438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25537",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841250537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5848 S 300 E",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841076157",
            "telephone_number": "801-314-4040",
            "fax_number": "801-314-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDEMA",
        "first_name": "CHRISTY",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTP-PT-LIC-24333",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "12872447-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Bartleson Hebl, M.D.
• Robert W Heck, MD
• Callie Heddlesten
• Kristina Hedin-Goldsmith, MS NP
• Laura K Heermann Langford, PHD, RN
• Marta Elise Heilbrun, M.D.
• Heather L Heileson, M.D.
• Sabrina Heinrich
• Nicole Heisinger
• Helena Heister, MD

• Physical Therapist in Murray, UT
• Providers in Murray, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.