Heather Lea Massie, PT
Physical Therapist in Santa Rosa, CA. Individual provider (NPI-1).
NPI number1124187166
StatusActive
Last updated in NPPESJul 28, 2019
Details
- NPI
- 1124187166
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Heather Lea Massie
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 6, 2006
- Last updated
- Jul 28, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT 19746 | CA | Yes |
Other names
- Heather Lea Muehlberger (Former Name)
Practice location
3550 Round Barn Blvd Ste 112Santa Rosa, CA 95403
Phone 707-566-5488
Mailing address
2512 Sonoma AveSanta Rosa, CA 95405-6848
Phone 760-614-1164
Other practice locations
151 Pioneer Ln
Bishop, CA 93514
Bishop, CA 93514
Phone 760-872-1000
151 Pioneer Ln
Bishop, CA 93514
Bishop, CA 93514
Phone 760-872-1000
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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