JEFFREY D HEADDY (NPI# 1689679474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689679474 |
| Entity Type | Individual |
| Full Name | JEFFREY D HEADDY |
| Credential | RPT |
| Practice Address |
639 S Walker St Ste E Bloomington IN 47403-2124 |
| Practice Telephone | 8123334000 |
| Practice Fax Number | 8123330611 |
| Mailing Telephone | 8123334000 |
| Mailing Fax Number | 8123330611 |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2010-12-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 05004322A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200488270 | 05 |
| Street Address |
639 S WALKER ST STE E |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403-2124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912404435 | Thomas A Brady Sports Medicine Ctr | Orthopaedic Surgery | 639 S Walker St Ste E, Bloomington, IN 47403-2124 | 2018-04-11 |
| 1649573270 | Michael J Sanderson | Physical Therapist | 639 S Walker St Ste E, Bloomington, IN 47403-2124 | 2010-12-21 |
| 1093034910 | Marissa Ann Schaeuble | Physical Therapist | 639 S Walker St Ste E, Bloomington, IN 47403-2124 | 2010-05-18 |
| 1174721039 | Kathilyn N Teague | Occupational Therapist | 639 S Walker St Ste E, Bloomington, IN 47403-2124 | 2007-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900781 | Tana Van Meter | Physical Therapist | 3801 General Electric Rd, Bloomington, IL 61704-4182 | 2020-07-27 |
| 1558917088 | Brianna Blohm | Physical Therapist | 822 S Auto Mall Rd, Bloomington, IN 47401-5430 | 2019-08-12 |
| 1740765791 | Holly G Carter | Physical Therapist | 3607 Heirloom Dr, Bloomington, IN 47401 | 2018-09-26 |
| 1336625383 | Heidi Marie Cummins | Physical Therapist | 1402 Leslie Dr, Bloomington, IL 61704-5405 | 2018-07-12 |
| 1831692219 | Molly R Gill | Physical Therapist | 2103 N Veterans Pkwy Ste 332, Bloomington, IL 61704-0917 | 2018-03-13 |
| 1255848388 | Joy Alfonso | Physical Therapist | 450 S Stardust Cir, Bloomington, IN 47403-8707 | 2018-01-10 |
| 1619496536 | Kirsten N Neely | Physical Therapist | 2604 E. Creek's Edge Dr., Bloomington, IN 47401 | 2017-09-12 |
| 1023533908 | Hoosier United Therapy Service LLC | Physical Therapist | 2801 E Plateau Place, Bloomington, IN 47401 | 2017-08-11 |
| 1992231732 | Ethan Blankespoor | Physical Therapist | 3800 American Blvd W # 200, Bloomington, MN 55431-4420 | 2017-05-11 |
| 1649729625 | Emily White | Physical Therapist | 19 Lexis Ct, Bloomington, IL 61704-4814 | 2016-10-01 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.