HEALTHPRO HERITAGE REHAB & FITNESS, LLC (NPI# 1871072462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871072462 |
| Entity Type | Organization |
| Organization Name | HEALTHPRO HERITAGE REHAB & FITNESS, LLC |
| Practice Address |
2100 S Swope Dr Independence MO 64057-2808 |
| Mailing Address |
536 Old Howell Rd Greenville SC 29615-1969 |
| Practice Telephone | 8167084462 |
| Mailing Telephone | 8642443626 |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2019-09-23 |
| Authorized Official Name | MS. AMANDA L QUIGLEY (MANAGER) |
| Authorized Official Telephone | 8644063468 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942793534 | Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | 4975 N 1st Ave, Tucson, AZ 85718-5614 | 2018-06-08 |
| 1730695065 | Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | 20 Austin Ave Ofc 1, Greenville, RI 02828-1449 | 2017-12-22 |
| 1053833657 | Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | 7770 Burr Street, Schererville, IN 46375-3400 | 2017-07-14 |
| 1376073262 | Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | 960 S Charles G Seivers Blvd, Clinton, TN 37716-3882 | 2017-06-14 |
| 1558434357 | Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | 275 Commonwealth Dr, Greenville, SC 29615-4814 | 2006-11-17 |
| 1235780115 | Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | 715 W 6th St, Mountain Home, AR 72653-3421 | 2019-09-23 |
| 1619528593 | Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | 100 Azalea Dr, Oxford, MS 38655-7372 | 2019-09-23 |
| 1033776331 | Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | 11630 Glen Arm Rd, Glen Arm, MD 21057-9403 | 2019-05-22 |
| 1770054686 | Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | 4600 Bowling Blvd, Louisville, KY 40207-5155 | 2018-12-17 |
| 1376038646 | Healthpro Heritage Rehab & Fitness, LLC | Speech-Language Pathologist | 4950 Thunderbird Dr, Boulder, CO 80303-3835 | 2018-06-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | HEALTHPRO HERITAGE REHAB & FITNESS, LLC | 536 Old Howell Road, Greenville, SC 29615 |
| Washington State Corporations | HEALTHPRO HERITAGE REHAB & FITNESS, LLC | 536 Old Howell Rd, Greenville, SC 29615-1969 |
| Colorado Business Entities | HealthPRO Heritage Rehab & Fitness, LLC | 307 International Circle, Suite 100, Hunt Valley, MD 21030 |
| Street Address |
2100 S SWOPE DR |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64057-2808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174002364 | Justine Barye Bolton | Physical Therapist | 2301 South 291 Highway, Independence, MO 64057 | 2018-08-09 |
| 1194230136 | Brantley Vincent Niendick | Occupational Therapist | 2301 S M 291 Hwy, Independence, MO 64057 | 2017-12-13 |
| 1437693561 | Derek Faulkner | Counselor | 2400 Little Blue Pkwy, Independence, MO 64057 | 2016-12-08 |
| 1578916136 | Jared Donald Gerstenkorn | Physical Therapist | 2301 South Highway 291, Independence, MO 64057 | 2016-07-19 |
| 1295198182 | Jennifer J Allen | Nurse Practitioner | 2310 Castle Drive, Independence, MO 64057 | 2016-03-30 |
| 1750750808 | Lisa Louise Freeman | Physical Therapy Assistant | 3980 S Jackson Dr, Independence, MO 64057 | 2015-09-18 |
| 1437543592 | Harold Epps | Specialist/Technologist | 2301 South Mo 291 Highway, Independence, MO 64057 | 2015-03-26 |
| 1245620426 | Holly Morgan | Occupational Therapist | 3980 S Jackson Dr., Independence, MO 64057 | 2015-01-27 |
| 1093128159 | Jennifer Falk Crumbaugh | Dentist | 3151 S. M-291 Highway, Suite A, Independence Mo, MO 64057 | 2014-06-06 |
| 1952711954 | Judy Bray | Occupational Therapy Assistant | 3980 East Jackson Drive, Independence, MO 64057 | 2014-04-30 |
| Find all providers in zip 64057 | ||||
| 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 |
|---|---|---|---|---|
| 1881228120 | Ivan Haggins II | Physical Therapist | 6500 Rockside Rd Ste 160, Independence, OH 44131-2319 | 2020-02-25 |
| 1205498284 | Elliot John William Hutchison | Physical Therapist | 17331 E 40 Hwy Ste 105, Independence, MO 64055-6444 | 2019-07-01 |
| 1285116426 | Benjamin Bagge | Physical Therapist | 1706 Keokuk Ave, Independence, IA 50644-9227 | 2018-09-04 |
| 1174002364 | Justine Barye Bolton | Physical Therapist | 2301 South 291 Highway, Independence, MO 64057 | 2018-08-09 |
| 1437643798 | Haleigh D Jackson | Physical Therapist | 19049 E Valley View Pkwy Ste H, Independence, MO 64055-7026 | 2018-06-20 |
| 1104349166 | Tyler Thorp | Physical Therapist | 4900 S Arrowhead Dr Ste B, Independence, MO 64055-6990 | 2017-07-21 |
| 1578916136 | Jared Donald Gerstenkorn | Physical Therapist | 2301 South Highway 291, Independence, MO 64057 | 2016-07-19 |
| 1013390400 | Kevin T Collins | Physical Therapist | 5001 Rockside Rd # In10, Independence, OH 44131-2172 | 2015-07-02 |
| 1578992517 | Kelsey Leimkuehler | Physical Therapist | 2301 S Missouri 291 Highway, Independence, MO 64057 | 2013-11-08 |
| 1720322704 | Samantha Paradise Forrest | Physical Therapist | 2301 S Hwy 291, Independence, MO 64057 | 2012-11-15 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 64057 |
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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.