Healthcare Provider Details

I. General information

NPI: 1447543723
Provider Name (Legal Business Name): HEATHER MICHELLE PINKERTON PT, PCS, ATP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2011
Last Update Date: 06/15/2023
Certification Date: 06/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1868 W MOCKINGBIRD LN
DALLAS TX
75235-5013
US

IV. Provider business mailing address

1868 W MOCKINGBIRD LN
DALLAS TX
75235-5013
US

V. Phone/Fax

Practice location:
  • Phone: 972-323-9393
  • Fax: 972-692-8766
Mailing address:
  • Phone: 972-323-9393
  • Fax: 972-692-8766

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1134179
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: