Ian Heinicke, PT, DPT
NPI 1366923484ActiveIndividual· Physical Therapist· Mattawan, MI
Physical Therapist (PT, DPT) in Mattawan, Michigan, licensed in MI, with an NPI issued in August 2018. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1366923484 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Aug 27, 2018 |
| Last updated in NPPES | Apr 16, 2023 |
| Certified by provider | Apr 16, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 5501018840 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MI) |
|---|
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