Heather Alich, PT,DPT
Individual provider Active NPI Physical Therapist · Levittown, NY
NPI 1972303436 · NPPES record last updated Mar 14, 2025
Key facts
- NPI
- 1972303436
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 054058 (NY)
- Practice address
- 650 Wantagh Ave
Levittown, NY 11756-5390 - Phone
- (516) 520-7200
- NPI assigned
- Mar 14, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jag-One Physical Therapy LLC
RB Physical and Occupational Therapy, PLLC
Practice addresses (Care Compare)
1 Orient Way
Suite a
Rutherford, NJ 07070-2524
Phone (973) 320-3170
650 Wantagh Ave
Levittown, NY 11756-5390
Phone (516) 520-7200
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250327003687 | NY | Practitioner - Physical Therapist in Private Practice | 4284157454 | Reassigns benefits to 1 organization |
| I20260513001768 | NJ | Practitioner - Physical Therapist in Private Practice | 4284157454 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054058 | NY | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RB Physical and Occupational Therapy PLLC | Physical Therapist | Current |
Accepting new patients |
| Jag-One Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
| One on One Physical Therapy Services PLLC | Physical Therapist | Past |
Accepting new patients |
Locations
981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511
2107 State Route 35
Holmdel, NJ 07733
Phone (732) 587-5065
1 Orient Way
Ste A
Rutherford, NJ 07070
Phone (973) 320-3170
4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949
650 Wantagh Ave
Levittown, NY 11756
Phone (516) 261-9510
231 Beach 116th St
Rockaway Park, NY 11694
Phone (718) 474-2224
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 054058 | NY | Yes |
Addresses
Primary practice location
650 Wantagh Ave
Levittown, NY 11756-5390
Mailing address
169 Charles Ave
Massapequa Park, NY 11762-2307
Phone (484) 387-7889
Other providers in Levittown, NY
- Nishan Akwalia
- Elizabeth Marie Alagna
- James Randall Albanese
- Tracy Anne Alber
- Dimitrios Stamatis Alexopoulos
- Allan Dampf PC
- Alliance Wellness Medical PLLC
- Amneris Almonte
- Dominique Alvarez
- Ampd Dental Levittown PLLC
All providers in Levittown, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2025. 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.