DR. MAKENZIE ALYCE HEISDORF (NPI# 1104861327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104861327 |
| Entity Type | Individual |
| Full Name | DR. MAKENZIE ALYCE HEISDORF |
| Credential | DPT |
| Practice Address |
901 Oak Park Blvd Suite 102 Pismo Beach CA 93449-3408 |
| Practice Telephone | 8054818272 |
| Practice Fax Number | 8054818045 |
| Mailing Telephone | 8054818272 |
| Mailing Fax Number | 8054818045 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2012-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT27882 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
901 OAK PARK BLVD SUITE 102 |
| City | PISMO BEACH |
| State | CA |
| Zip Code | 93449-3408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699758565 | Ventana Health and Medical Center | Family Medicine | 901 Oak Park Blvd, Suite 101, Pismo Beach, CA 93449-3216 | 2005-11-23 |
| 1538592167 | Paul Lyle Manosar | Physical Therapist | 901 Oak Park Blvd, Suite 102, Pismo Beach, CA 93449-3408 | 2013-08-19 |
| 1215376496 | First Choice Physician Partners | Internal Medicine | 901 Oak Park Blvd, Suite 101, Pismo Beach, CA 93449-3408 | 2013-06-20 |
| 1922357003 | Ethan Jeremy Breen | Family Medicine | 901 Oak Park Blvd, Pismo Beach, CA 93449-3408 | 2012-09-05 |
| 1598091068 | Scott Robertson Md Inc | Family Medicine | 901 Oak Park Blvd, Suite 100, Pismo Beach, CA 93449-3408 | 2009-10-19 |
| 1104072917 | Deneen C Dicarlo Md Inc A Prof Corp | Internal Medicine | 901 Oak Park Blvd, Suite 101, Pismo Beach, CA 93449-3408 | 2008-08-12 |
| 1285732826 | K. George Sachariah | Internal Medicine | 901 Oak Park Blvd, Suite 101, Pismo Beach, CA 93449-3408 | 2006-09-20 |
| 1740392521 | Paritosh Patel | Dentist | 901 Oak Park Blvd, Suite 103, Pismo Beach, CA 93449 | 2006-08-31 |
| 1225042120 | Traci R. Fernandes, Dds, Inc | Dentist | 901 Oak Park Blvd, Suite 203, Pismo Beach, CA 93449-3216 | 2006-07-28 |
| 1619995545 | Mariella Alvarellos | Family Medicine | 901 Oak Park Blvd, Suite 101, Pismo Beach, CA 93449-3408 | 2006-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831688795 | Kristyn Collins | Psychologist | 130 James Way, #150, Pismo Beach, CA 93449 | 2018-05-07 |
| 1245750140 | Judy Burke Morabito | Pedorthist | 801 Dolliver Street, Pismo Beach, CA 93449 | 2017-06-21 |
| 1295274413 | The San Luis Obispo Hearing Center, Inc | Specialist | 901 Oak Park Blvd Suite 202, Pismo Beach, CA 93449 | 2017-02-21 |
| 1649713645 | Sarah Victoria Stroemel | Counselor | 172 Stimson Ave, #3, Pismo Beach, CA 93449 | 2016-11-22 |
| 1497133631 | Byron N Collier | Podiatrist | 911 Oak Park Blvd Ste 106, Pismo Beach, CA 93449 | 2015-05-07 |
| 1982973319 | Mariana Dintyala | Nurse Practitioner | Avery Healthcare Sevices, 230 Coral Ct, Pismo Beach, CA 93449 | 2011-12-13 |
| 1538444575 | Chelsea Hunter | Student in an Organized Health Care Education/Training Program | 448 Foothill Rd, Pismo Beach, CA 93449 | 2011-10-20 |
| 1952621492 | Briana Leigh Schiro | Counselor | 314 El Portal Dr., Suite 100, Pismo Beach, CA 93449 | 2010-06-07 |
| 1134365315 | Robert Lee Hix | Licensed Psychiatric Technician | 201 Five Cities Dr., 123, Pismo Beach, CA 93449 | 2008-12-18 |
| 1689886764 | Active Physical Therapy Inc | Physical Therapist | 1851 Shell Beach Rd, Suite B, Shell Beach, CA 93449 | 2007-05-03 |
| Find all providers in zip 93449 | ||||
| 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 |
|---|---|---|---|---|
| 1528405784 | Donald Lee Zimmerman | Physical Therapist | 201 Five Cities Dr Spc 56, Pismo Beach, CA 93449-3079 | 2013-05-29 |
| 1649441254 | Adecia Parker | Physical Therapist | 340 Ocean View Ave, Pismo Beach, CA 93449-2516 | 2008-03-23 |
| 1861566341 | Robert Armstrong Allis | Physical Therapist | 271 Five Cities Dr, Pismo Beach, CA 93449-3009 | 2006-11-17 |
| 1841362894 | Rachael Mary Elizabeth Pharr Larson | Physical Therapist | 1851 Shell Beach Rd Ste B, Pismo Beach, CA 93449-1860 | 2006-11-14 |
| 1417972977 | Louis Dominic Moscardi | Physical Therapist | 911 Oak Park Blvd Ste 105, Pismo Beach, CA 93449-3406 | 2006-07-13 |
| 1538592167 | Paul Lyle Manosar | Physical Therapist | 901 Oak Park Blvd, Suite 102, Pismo Beach, CA 93449-3408 | 2013-08-19 |
| 1760793236 | Physical Therapy Specialists Pts, Inc. | Physical Therapist | 271 Five Cities Dr, Pismo Beach, CA 93449-3009 | 2010-06-29 |
| 1588833321 | Sarah Marie Willett | Physical Therapist | 271 Five Cities Dr, Pismo Beach, CA 93449-3009 | 2008-02-26 |
| 1366593246 | Charles Alden Barstow Jr. | Physical Therapist | 271 Five Cities Dr, Pismo Beach, CA 93449-3009 | 2007-01-16 |
| 1770650301 | Moscardi Physical Therapy, Inc | Physical Therapist | 911 Oak Park Blvd Ste 105, Pismo Beach, CA 93449-3406 | 2006-11-29 |
| Find all providers in PISMO BEACH | ||||
| City | PISMO BEACH |
| Zip Code | 93449 |
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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.