Kaylee Heisler, PT
Individual provider Active NPI Physical Therapist · Devils Lake, ND
NPI 1972077733 · NPPES record last updated Jun 27, 2024
Key facts
- NPI
- 1972077733
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2662 (ND)
- Practice address
- 210 Highway 2 W Ste 7
Devils Lake, ND 58301-2913 - Phone
- (701) 662-8448
- NPI assigned
- Jan 15, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Spirit Lake Tribe
Practice addresses (Care Compare)
3883 74TH Ave NE
Spirit Lake Health Center
Fort Totten, ND 58335-0309
Phone (701) 766-1600
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250926002858 | TX | Practitioner - Physical Therapist in Private Practice | 8820440084 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2662 | ND | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spirit Lake Tribe | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Physical Therapist | 225100000X | 2662 | ND | Yes |
Addresses
Primary practice location
210 Highway 2 W Ste 7
Devils Lake, ND 58301-2913
Mailing address
905 2ND St NE
Devils Lake, ND 58301-3130
Phone (701) 780-1891
Other names
- Kaylee Flaagan
Other providers in Devils Lake, ND
- Danielle Hawn
- Ashton Leigh Hedger
- Arlynn Lee Hefta
- Kayla Lee Heinrich
- Jennifer Heisler
- Sarah Hendrickson
- Raeanne Henry
- Eric J Herman
- Nichole Herman
- Rollin D Herman
All providers in Devils Lake, ND · Physical Therapist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.