Stacey M Heffernan, PT
Physical Therapist in Beverly, Massachusetts
1699840348- Practice location
- 100 Cummings Ctr, Suite 121Q, Beverly, MA 01915-6115
- Phone
- 978-927-0907
- Fax
- 978-927-0537
- Last updated
- July 8, 2007
Stacey M Heffernan is a Physical Therapist based in Beverly, MA. Stacey M Heffernan practices in Beverly, MA and has the professional credentials of PT. The NPI Number for Stacey M Heffernan is 1699840348 and holds a License No. 15982 (MA). The current practice location address for Stacey M Heffernan is 100 Cummings Ctr, Suite 121Q, Beverly, MA 01915-6115 and can be reached out via phone at 978-927-0907 and via fax at 978-927-0537.
Provider Profile Details
- NPI Number
- 1699840348
- Provider Name
- Stacey M Heffernan
- Credential
- PT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 100 Cummings Ctr, Suite 121Q, Beverly, MA 01915-6115
- Phone Number
- 978-927-0907
- Fax Number
- 978-927-0537
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Other Names
- -- Stacey M Pedersen (Former Name)
- Provider Enumeration Date
- November 21, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Cummings Ctr
Suite 121Q
Beverly, MA 01915-6115 - City
- Beverly
- State
- Massachusetts
- Zip
- 01915-6115
- Phone Number
- 978-927-0907
- Fax Number
- 978-927-0537
Provider Business Mailing Address Details
- Address
- 101 Cambridge St
Burlington, MA 01803-3766 - City
- Burlington
- State
- MA
- Zip
- 01803-3766
- Phone Number
- 781-229-8011
- Fax Number
- 781-229-8374
License Information
- License Number
- 15982
- License State
- MA
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Stacey M Heffernan, PT?
The NPI number of Stacey M Heffernan, PT is 1699840348. It was assigned on November 21, 2006 and is currently active in the NPPES registry.
What is the specialty of Stacey M Heffernan, PT?
Stacey M Heffernan, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 15982.
Where does Stacey M Heffernan, PT practice?
The practice location is 100 Cummings Ctr, Suite 121Q, Beverly, MA 01915-6115. The office can be reached at 978-927-0907 (phone) or 978-927-0537 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1699840348 directly on the NPPES registry website.