Kaylee Heschke

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P22479 Issued in NC

Practice address

4002 Executive Park Blvd Ste 800
Southport, NC 28461-9069

Phone

(910) 477-6236

NPI assigned

Oct 17, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Peak Performance Sports and Physical Therapy, LLC

  • Physical Therapist
  • New Bern, NC
  • NPI 1194714063
  NPD

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1982486791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 HESS RD",
            "city": "APPLETON",
            "state": "NY",
            "postal_code": "140089648",
            "telephone_number": "716-955-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 EXECUTIVE PARK BLVD STE 800",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284619069",
            "telephone_number": "910-477-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESCHKE",
        "first_name": "KAYLEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P22479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Jane Hedgecock, MA, NCC, LPC
• Marty Lee Hendrick, PHARM D
• Anne Marie Henschel
• Rick J Hernandez, M.D.
• Mark Herzog, PTA
• Carol H Hester, MA
• Karen Hewett
• William Wesley Hickman, PHARMD
• Brad L Hilaman, MD
• Richard Wayne Hilliard Jr., D.O.

• Physical Therapist in Southport, NC
• Providers in Southport, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.