HEATHER ANN HASTRUP (NPI# 1548706591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548706591 |
| Entity Type | Individual |
| Full Name | HEATHER ANN HASTRUP |
| Credential | PT, DPT |
| Practice Address |
1650 S Amphlett Blvd Suite 108 San Mateo CA 94402-2517 |
| Mailing Address |
566 Arguello Way Apt 113 Stanford CA 94305-6127 |
| Practice Telephone | 6506389142 |
| Mailing Telephone | 5596962560 |
| Enumeration Date | 2017-01-15 |
| Last Update Date | 2017-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
292498 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1650 S AMPHLETT BLVD SUITE 108 |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94402-2517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174858682 | Kristin Hatten | Physical Therapist | 1650 S Amphlett Blvd, Suite 108, San Mateo, CA 94402-2517 | 2009-10-16 |
| 1073150207 | Roberto Garcia II | Counselor | 1650 S Amphlett Blvd, San Mateo, CA 94402-2517 | 2019-12-06 |
| 1720532138 | Rachel Lucas | Physical Therapist | 1650 S Amphlett Blvd, #108, San Mateo, CA 94402-2517 | 2016-08-15 |
| 1184099319 | Anna Payne | Physical Therapist | 1650 S Amphlett Blvd, #108, San Mateo, CA 94402-2517 | 2015-12-14 |
| 1184022089 | Leslie Lam | Physical Therapist | 1650 S Amphlett Blvd, Ste 108, San Mateo, CA 94402-2517 | 2014-12-09 |
| 1104226836 | Diane Warzecha | Occupational Therapist | 1650 S Amphlett Blvd, Suite 108, San Mateo, CA 94402-2517 | 2014-08-29 |
| 1538407531 | Renee H Nahum | Occupational Therapist | 1650 S Amphlett Blvd, San Mateo, CA 94402-2517 | 2013-01-25 |
| 1871848721 | Jennifer Giblin | Physical Therapist | 1650 S Amphlett Blvd, Suite 108, San Mateo, CA 94402-2517 | 2012-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154227 | Mark Cameron Head | Non-emergency Medical Transport (VAN) | 331 Sonora Drive, San Mateo, CA 94402 | 2020-11-06 |
| 1669032868 | County of San Mateo | Clinic/Center | 222 Paul Scannell Dr., San Mateo, CA 94402 | 2019-06-19 |
| 1417443755 | Suen Leung | Counselor | 800 Edinburgh St, San Mateo, CA 94402 | 2018-07-10 |
| 1760997902 | Blue Lotus Connection | Point of Service | 1700 S Amphlett Blvd, Ste 250b, San Mateo, CA 94402 | 2017-12-11 |
| 1982122503 | Madeline Pielert | Social Worker | 1670 S. Amphlett Blvd. 115, San Mateo, CA 94402 | 2017-09-04 |
| 1629512348 | Travis Woodmansee | Marriage & Family Therapist | 419 S El Dorado St, San Mateo, CA 94402 | 2016-12-14 |
| 1669820858 | Mohan Sundareson | Pediatrics | 1638 South Grant St, San Mateo, CA 94402 | 2016-05-27 |
| 1457712572 | New Life Acupuncture Clinic | Acupuncturist | 1720 South Amphlett Blvd # 168, San Mateo, CA 94402 | 2016-03-17 |
| 1871951434 | Nanami Oba | Physical Therapy Assistant | 20 Bennigton Dr., San Mateo, CA 94402 | 2016-02-10 |
| 1780059733 | Adrianna Cimera | Behavioral Analyst | 1710 South Amphlett Blvd, Suite 314, San Mateo, CA 94402 | 2015-12-02 |
| Find all providers in zip 94402 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174858682 | Kristin Hatten | Physical Therapist | 1650 S Amphlett Blvd, Suite 108, San Mateo, CA 94402-2517 | 2009-10-16 |
| 1720532138 | Rachel Lucas | Physical Therapist | 1650 S Amphlett Blvd, #108, San Mateo, CA 94402-2517 | 2016-08-15 |
| 1407300171 | Laura Costa | Physical Therapist | 1650 S Amphlett Blvd Ste 108, San Mateo, CA 94402-2514 | 2016-08-10 |
| 1154875490 | Nicole Conley | Physical Therapist | 1650 S Amphlett Blvd Ste 108, San Mateo, CA 94402-2514 | 2016-08-03 |
| 1396147278 | Kathleen Ikuta | Physical Therapist | 1650 S Amphlett Blvd Ste 108, San Mateo, CA 94402-2514 | 2014-09-22 |
| 1053725416 | Cynthia Cohan | Physical Therapist | 1650 S Amphlett Blvd Ste 108, San Mateo, CA 94402-2514 | 2014-06-13 |
| 1871848721 | Jennifer Giblin | Physical Therapist | 1650 S Amphlett Blvd, Suite 108, San Mateo, CA 94402-2517 | 2012-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745233 | Tejal Shah Chokshi | Physical Therapist | 7425 La Mantanza, San Diego, CA 92127-3636 | 2020-09-16 |
| 1487277992 | Katherine Anne Zweier | Physical Therapist | 4646 Van Dyke Ave, San Diego, CA 92116-4842 | 2020-05-19 |
| 1184246621 | Achieving Milestones Pediatric Therapy, Inc | Physical Therapist | 221 E Glenoaks Blvd # 225a, Glendale, CA 91207-2085 | 2020-05-07 |
| 1568094761 | Amanda Montoya | Physical Therapist | 58 Calle Escalon, Camarillo, CA 93010 | 2020-02-06 |
| 1215585690 | Maggie Christine Ridenhour | Physical Therapist | 1541 Old Bayshore Hwy, Burlingame, CA 94010-1602 | 2019-08-29 |
| 1477100162 | Fasia Ramirez | Physical Therapist | 35510 Schuber Ln, Temecula, CA 92592-8125 | 2019-08-19 |
| 1689229841 | Jaclyn Rymer | Physical Therapist | 1000 S Fremont Ave Bldg 10n10220, Alhambra, CA 91803 | 2019-08-05 |
| 1649836669 | Karin Stohn | Physical Therapist | 100 Mcgivern Way, Santa Cruz, CA 95060-9300 | 2019-05-15 |
| 1376108597 | Karen Dzierski Cruise | Physical Therapist | 10860 Topanga Canyon Blvd, Chatsworth, CA 91311-1350 | 2019-05-02 |
| 1326511064 | Lissett Rojas | Physical Therapist | 855 N Lark Ellen Ave Ste L, West Covina, CA 91791-1099 | 2019-01-04 |
| Find all providers with the same taxonomy | ||||
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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.