Provider Demographics
NPI:1285183525
Name:HEIM, JAMES E (PT, DPT)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:E
Last Name:HEIM
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5616 PEACHTREE RD STE 180
Mailing Address - Street 2:
Mailing Address - City:CHAMBLEE
Mailing Address - State:GA
Mailing Address - Zip Code:30341-2312
Mailing Address - Country:US
Mailing Address - Phone:404-400-6242
Mailing Address - Fax:404-332-0308
Practice Address - Street 1:5616 PEACHTREE RD STE 180
Practice Address - Street 2:
Practice Address - City:CHAMBLEE
Practice Address - State:GA
Practice Address - Zip Code:30341-2312
Practice Address - Country:US
Practice Address - Phone:404-400-6242
Practice Address - Fax:404-332-0308
Is Sole Proprietor?:No
Enumeration Date:2016-09-28
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA22513225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist