HEENAM LEEM DPT
NPI 1649101676
Physical Therapist in Riverside, CA

Active since May 27, 2026
9900 INDIANA AVE STE 1, RIVERSIDE, CA 92503(951) 376-1120(951) 376-1182 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Heenam Leem Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEENAM LEEM DPT (NPI 1649101676) is an individual physical therapist in Riverside, California, licensed in California (PT309917) and active in the NPI registry since May 2026. He is a graduate of Other (2025).

NPPES Registry Identity

NPI1649101676
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameHEENAM LEEMCredential: DPT
Location Address9900 INDIANA AVE STE 1Riverside, CA 92503-5498
Mailing Address9900 Indiana Ave Ste 1Riverside, CA 92503-5498 · (951) 376-1120 · Fax (951) 376-1182
Fax(951) 376-1182
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 27, 2026
NPPES CertifiedMay 27, 2026
✔ NPI 1649101676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in CA · PT309917
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
9900 INDIANA AVE STE 1, Riverside, CA 92503

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heenam Leem Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698239986
PECOS Enrollment IDI20260708001553

Medicare Billing Reassignment

Medicare enrollment records show Heenam Leem reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
2 PETERS CANYON RD STE 100
Irvine, CA 92606
  • Reassigned Medicare billing, California enrollment
  • 58 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.

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 Heenam Leem's NPI number?

The NPI number for Heenam Leem is 1649101676. It was assigned to this individual provider in the NPPES registry on May 27, 2026.

Where is Heenam Leem located?

Heenam Leem practices at 9900 Indiana Ave Ste 1, Riverside, CA 92503. The listed phone number is (951) 376-1120.

What is Heenam Leem's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Heenam Leem enrolled in Medicare?

Yes. Heenam Leem is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Heenam Leem's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heenam Leem reassigns Medicare benefits to Fairbanks & Power Physical Therapy Corp. (Irvine, CA). 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 Heenam Leem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Heenam Leem was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.