IMARI JEANINE HEAVENS PT,DPT
NPI 1043987795
Physical Therapist - Orthopedic in Woodbridge, VA
About Imari Jeanine Heavens Pt,dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IMARI JEANINE HEAVENS PT,DPT (NPI 1043987795) is an individual orthopedic provider in Woodbridge, Virginia and active in the NPI registry since August 2021.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Imari Jeanine Heavens Pt,dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Imari Heavens reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fairfax, VA 22031
- Reassigned Medicare billing, District of Columbia enrollment
- 148 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WOODBRIDGE, VA 22192
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Imari Heavens's NPI number?
The NPI number for Imari Heavens is 1043987795. It was assigned to this individual provider in the NPPES registry on August 30, 2021.
Where is Imari Heavens located?
Imari Heavens practices at 12731 Marblestone Dr Ste 202, Woodbridge, VA 22192. The listed phone number is (571) 659-2612.
What is Imari Heavens's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.
Is Imari Heavens enrolled in Medicare?
Yes. Imari Heavens is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Imari Heavens's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Imari Heavens reassigns Medicare benefits to Virginia Luna Care Physical Therapy LLC (Fairfax, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Imari Heavens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Imari Heavens accept?
Health plans from Oscar Health list Imari Heavens as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Imari Heavens was last updated on August 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Imari Jeanine Heavens, PT,DPT · NPI 1043987795
Orthopedic provider in Woodbridge, Virginia. Individual provider, active in the CMS NPPES registry since August 30, 2021.
## Identity
- **NPI:** 1043987795 (Entity type: Individual)
- **Enumerated:** August 30, 2021
- **Primary specialty:** Physical Therapist - Orthopedic · taxonomy 2251X0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12731 MARBLESTONE DR STE 202, Woodbridge, VA 22192-8334
- **Phone:** (571) 659-2612
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Virginia Luna Care Physical Therapy LLC (NPI 1235720848, Fairfax, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 30, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1043987795) · Data from the CMS NPPES public registry.