DOUGLAS JOHN HEIM RPT
NPI 1932367711
Physical Therapist in Fairfield, CT

Active since May 28, 2008Accepts Medicare Assignment
70.76/100
CMS Quality Rating
571 TAHMORE DR, FAIRFIELD, CT 06825(203) 374-8484(203) 374-1149 Get Directions Write a Review

NPPES record last updated: March 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 16, 2021, Feb 22, 2021 (2 updates tracked since 2021).

About Douglas John Heim Rpt NPPES

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

DOUGLAS JOHN HEIM RPT (NPI 1932367711) is an individual physical therapist in Fairfield, Connecticut, licensed in Connecticut (002039) and active in the NPI registry since May 2008. He is a graduate of Other (1976).

NPPES Registry Identity

NPI1932367711
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameDOUGLAS JOHN HEIMCredential: RPT
Location Address571 TAHMORE DRFairfield, CT 06825-2515
Mailing Address571 Tahmore DrFairfield, CT 06825-2515 · (203) 374-8484 · Fax (914) 249-7032
Fax(203) 374-1149
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateMay 28, 2008
Last NPPES UpdateMarch 16, 20212 updates tracked since enumeration
NPPES CertifiedMarch 16, 2021
NPI 1932367711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in CT · 002039
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.
Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X · License 2039 (CT)
571 TAHMORE DR, Fairfield, CT 06825

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Douglas John Heim Rpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517038284
PECOS Enrollment IDI20080624000504

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06825 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

70.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.21
Promoting Interoperability85
Improvement Activities40
Cost51.85

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 Douglas Heim's NPI number?

The NPI number for Douglas Heim is 1932367711. It was assigned to this individual provider in the NPPES registry on May 28, 2008.

Where is Douglas Heim located?

Douglas Heim practices at 571 Tahmore Dr, Fairfield, CT 06825. The listed phone number is (203) 374-8484.

What is Douglas Heim's specialty?

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

Is Douglas Heim enrolled in Medicare?

Yes. Douglas Heim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Douglas Heim was last updated on March 16, 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.