Ian Heinicke, PT, DPT
NPI 1366923484 · Physical Therapist · Mattawan, MI
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ian Heinicke, PT, DPT is a Physical Therapist provider in Mattawan, MI (NPI 1366923484).
Provider details
- NPI number
- 1366923484
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 5501018840 (MI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-08-27
- Last updated
- 2023-04-16
- Certified
- 2023-04-16
Frequently asked questions
- What is Ian Heinicke's NPI number?
- Ian Heinicke's National Provider Identifier (NPI) is 1366923484, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ian Heinicke's specialty?
- Ian Heinicke is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Ian Heinicke located?
- Ian Heinicke's practice location on file with NPPES is 23211 Red Arrow Hwy, Mattawan, MI 49071-9701.
- What is Ian Heinicke's phone number?
- The practice phone number listed in the NPPES registry for Ian Heinicke is (269) 668-5930.
- Does Ian Heinicke accept Medicare?
- Ian Heinicke is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ian Heinicke's NPI active?
- Yes — Ian Heinicke's NPI (1366923484) is active in the NPPES registry as of the last update on 2023-04-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.