HERITAGE ENTERPRISES, INC. (NPI# 1780675488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780675488 |
| Entity Type | Organization |
| Organization Name | HERITAGE ENTERPRISES, INC. |
| Other Organization Name | HERITAGE ENTERPRISES, INC. DBA GREEN TREE THERAPY |
| Practice Address |
700 E Walnut St Bloomington IL 61701-3244 |
| Mailing Address |
115 W Jefferson St Suite 401 Bloomington IL 61701-3946 |
| Practice Telephone | 3098291268 |
| Practice Fax Number | 3098293475 |
| Mailing Telephone | 3098284361 |
| Mailing Fax Number | 3098299512 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2014-05-27 |
| Authorized Official Name | MR. DAVID M UNDERWOOD (SR. VP & CFO) |
| Authorized Official Telephone | 3098284361 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | =========-61702- | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Heritage Enterprises, Inc. dba Green Tree Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710156609 | Heritage Enterprises, Inc. | Assisted Living Facility | 8570 Saint Lukes Dr, Beardstown, IL 62618-9200 | 2008-02-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Heritage Enterprises, Inc. | 192 South St., Gastonia, NC 28052 |
| Massachusetts Corporations | HERITAGE ENTERPRISES, INC. | P.o. Box 53, Concord, MA 01742 |
| Washington State Corporations | HERITAGE ENTERPRISES, INC. | 9001 Pacific Ave, Tacoma, WA 98444 |
| Colorado Business Entities | HERITAGE ENTERPRISES, INC. | 11131 E. Nugget Drive, Desert Mountain, Painted Sky, Scottsdale, AZ 85262 |
| Indiana Business Entities | HERITAGE ENTERPRISES, INC. | Po Box 100, Stanford, IN 47463 |
| Street Address |
700 E WALNUT ST |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61701-3244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457343170 | Heritage Manor Bloomington, LLC | Occupational Therapy Assistant | 700 E Walnut St, Bloomington, IL 61701-3244 | 2005-08-18 |
| 1952948705 | Alex Morales | Physical Therapy Assistant | 700 E Walnut St, Bloomington, IL 61701-3244 | 2019-11-27 |
| 1770992190 | Katrina Mitchell | Occupational Therapist | 700 E Walnut St, Bloomington, IL 61701-3244 | 2014-08-11 |
| 1063821882 | Karma Young | Occupational Therapy Assistant | 700 E Walnut St, Bloomington, IL 61701-3244 | 2014-08-06 |
| 1336558436 | Kristen Stromberg | Physical Therapy Assistant | 700 E Walnut St, Bloomington, IL 61701-3244 | 2014-08-04 |
| 1104236165 | Heritage Enterprises, Inc | Clinic/Center | 700 E Walnut St, Bloomington, IL 61701-3244 | 2014-04-30 |
| 1124462288 | Whitney Lynn Harper | Physical Therapy Assistant | 700 E Walnut St, Bloomington, IL 61701-3244 | 2013-04-19 |
| 1881038941 | Stephanie Steele | Occupational Therapy Assistant | 700 E Walnut St, Bloomington, IL 61701-3244 | 2013-04-19 |
| 1275877979 | Heritage Manor - Bloomington, LLC | Durable Medical Equipment & Medical Supplies | 700 E Walnut St, Bloomington, IL 61701-3244 | 2012-11-19 |
| 1629321443 | Karen Coakley | Occupational Therapist | 700 E Walnut St, Bloomington, IL 61701-3244 | 2012-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140964 | County of Mclean | Community/Behavioral Health | 200 W Front St, 1st Floor Sw, C/o 200 W Front St, Suite 400f, Bloomington, IL 61701 | 2019-05-22 |
| 1023525292 | Karli Johnson | Counselor | 200 W Monroe St Ste C7, Bloomington, IL 61701 | 2018-01-09 |
| 1487172409 | Melody Ann Bauman | Physician Assistant | 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 | 2017-08-30 |
| 1215396288 | Heidi Larsen | Social Worker | 902 S East St, Bloomington, IL 61701 | 2016-02-18 |
| 1558735126 | Andrea E. Andrews Counseling LLC | Counselor | 200 W. Monroe St., Ste 302 C, Bloomington, IL 61701 | 2015-11-19 |
| 1174924856 | Carole Hahn | Dietitian, Registered | 1406 Forrest St, Bloomington, IL 61701 | 2014-09-12 |
| 1558786392 | Valerie Colleen Parker | Counselor | 109 W. Mulberry St., Bloomington, IL 61701 | 2014-03-04 |
| 1124459219 | Matilde Francois | Surgery | 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 | 2013-11-27 |
| 1922435114 | Smitha H Shivaprasad | Pharmacist | 2611 East Oakland Avenue, Bloomington, IL 61701 | 2013-10-02 |
| 1295161941 | Ashvin Patel | Obstetrics & Gynecology | 31 Country Club Pl, Bloomington, IL 61701 | 2013-09-25 |
| Find all providers in zip 61701 | ||||
| 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 |
|---|---|---|---|---|
| 1851900781 | Tana Van Meter | Physical Therapist | 3801 General Electric Rd, Bloomington, IL 61704-4182 | 2020-07-27 |
| 1558917088 | Brianna Blohm | Physical Therapist | 822 S Auto Mall Rd, Bloomington, IN 47401-5430 | 2019-08-12 |
| 1740765791 | Holly G Carter | Physical Therapist | 3607 Heirloom Dr, Bloomington, IN 47401 | 2018-09-26 |
| 1336625383 | Heidi Marie Cummins | Physical Therapist | 1402 Leslie Dr, Bloomington, IL 61704-5405 | 2018-07-12 |
| 1831692219 | Molly R Gill | Physical Therapist | 2103 N Veterans Pkwy Ste 332, Bloomington, IL 61704-0917 | 2018-03-13 |
| 1255848388 | Joy Alfonso | Physical Therapist | 450 S Stardust Cir, Bloomington, IN 47403-8707 | 2018-01-10 |
| 1619496536 | Kirsten N Neely | Physical Therapist | 2604 E. Creek's Edge Dr., Bloomington, IN 47401 | 2017-09-12 |
| 1023533908 | Hoosier United Therapy Service LLC | Physical Therapist | 2801 E Plateau Place, Bloomington, IN 47401 | 2017-08-11 |
| 1992231732 | Ethan Blankespoor | Physical Therapist | 3800 American Blvd W # 200, Bloomington, MN 55431-4420 | 2017-05-11 |
| 1649729625 | Emily White | Physical Therapist | 19 Lexis Ct, Bloomington, IL 61704-4814 | 2016-10-01 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61701 |
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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.