Heather Southwick, PT
NPI 1497965719ActiveIndividual· Physical Therapist, Sports· Boston, MA
Physical Therapist, Sports (PT) in Boston, Massachusetts, licensed in MA, with an NPI issued in May 2007. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1497965719 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | May 23, 2007 |
| Last updated in NPPES | Nov 19, 2020 |
| Certified by provider | Nov 19, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Sports Primary | 2251S0007X | 10821 | MA |
| Physical Therapist | 225100000X | 10821 | MA |
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 (MA) |
|---|
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