Individual provider Active NPI

Heather Deguzman, DPT

  • Physical Therapist
  • Red Bank, NJ
National Provider Identifier
1952810285
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01744600 Issued in NJ
Practice address
315 State Route 35
Red Bank, NJ 07701-5913
Phone
(732) 224-8355
Fax
(732) 855-9755
NPI assigned
Sep 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 40QA01744600 NJ
Physical Therapist 225100000X 40QA01744600 NJ Primary

Addresses

Primary practice location

315 State Route 35
Red Bank, NJ 07701-5913

Mailing address

9 Rebecca CT
Old Bridge, NJ 08857-2317

Other practice location 1

166 Patterson Ave Ste 8
Shrewsbury, NJ 07702-4166
Phone (732) 842-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191121000473 NJ Practitioner - Physical Therapist in Private Practice 6406288935 Reassigns benefits to 3 organizations
I20240924000274 PA Practitioner - Physical Therapist in Private Practice 6406288935 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01744600NJMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Boro Physical Therapy Associates, PA CurrentSince Oct 28, 2019 Accepting new patients
United Sports Care & Physical Therapy Physical Therapist CurrentSince Aug 2, 2021 Accepting new patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Aug 19, 2024 Accepting new patients
Sportscare of America, PC Physical Therapist CurrentSince Aug 2, 2021 Accepting new patients
Twin Boro Physical Therapy Associates PA Physical Therapist CurrentSince Oct 28, 2019 Accepting new patients
Orthopedic and Sports Physical Therapy Services, Inc. Physical Therapist CurrentSince Aug 19, 2024 Accepting new patients
Abilities in Action, LLC Pediatrics Past Accepting new patients

Locations

47 S Washington Ave
Bergenfield, NJ 07621
Phone (201) 384-2525

1161 Burnt Tavern Rd
Brick, NJ 08724
Phone (732) 458-1255

197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700

20 Commerce Dr
Ste 210
Cranford, NJ 07016

11 Eagle Rock Ave
Ste 201
East Hanover, NJ 07936
Phone (973) 887-0115

1255 Route 70
Ste 32N
Lakewood, NJ 08701
Phone (732) 901-4747

2050 State Route 27
Ste 107
North Brunswick, NJ 08902
Phone (732) 745-2727

140 N Route 17
Ste 272
Paramus, NJ 07652
Phone (201) 261-4343

80 Oak Hill Rd
Red Bank, NJ 07701
Phone (732) 741-2313

315 State Route 35
Red Bank, NJ 07701
Phone (732) 224-9355

1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282

1930 S Broad St
Ste J
Philadelphia, PA 19145
Phone (267) 507-7572

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1952810285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 REBECCA CT",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 STATE ROUTE 35",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015913",
            "telephone_number": "732-224-8355",
            "fax_number": "732-855-9755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "166 Patterson Ave Ste 8",
            "address_purpose": "LOCATION",
            "city": "Shrewsbury",
            "state": "NJ",
            "postal_code": "077024166",
            "country_code": "US",
            "telephone_number": "732-842-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEGUZMAN",
        "first_name": "HEATHER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-29",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NJ",
            "license": "40QA01744600",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01744600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.