Individual provider Active NPI

Heather Renee Caldwell, PTA

  • Physical Therapy Assistant
  • Harrisville, WV
National Provider Identifier
1962125682
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
001500 Issued in WV
Practice address
888 E Main St
Harrisville, WV 26362-1300
Phone
(304) 305-1935
NPI assigned
Sep 20, 2022
Last updated
Sep 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 001500 WV Primary

Addresses

Primary practice location

888 E Main St
Harrisville, WV 26362-1300

Mailing address

75 Mountain View Dr
Big Springs, WV 26137-8593
Phone (304) 972-4312

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Desktop/tablet
CONNECT URL Desktop/Tablet

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
001500WVMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Housecalls Home Health and Hospice, LLC PastSince Sep 25, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1962125682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 MOUNTAIN VIEW DR",
            "city": "BIG SPRINGS",
            "state": "WV",
            "postal_code": "261378593",
            "telephone_number": "304-972-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 E MAIN ST",
            "city": "HARRISVILLE",
            "state": "WV",
            "postal_code": "263621300",
            "telephone_number": "304-305-1935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "HEATHER",
        "middle_name": "RENEE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WV",
            "license": "001500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Desktop/tablet",
            "affiliation": "N",
            "address_1": "888 E Main St",
            "city": "Harrisville",
            "state": "WV",
            "country_code": "US",
            "postal_code": "263621300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Desktop/Tablet",
            "affiliation": "N",
            "address_1": "888 E Main St",
            "city": "Harrisville",
            "state": "WV",
            "country_code": "US",
            "postal_code": "263621300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.