MEDICARE: AUSTIN HECKMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1235025016
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUSTIN HECKMAN

Provider Business Mailing Address
First Line	:	1300 FAIRMOUNT AVE UNIT 730
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19123-2474
Country	:	US
Telephone Number	:	267-639-3215
Fax Number	:

Provider Business Practice Location Address
First Line	:	1501 WALNUT ST STE 400
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19102-3001
Country	:	US
Telephone Number	:	445-223-2653
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2025
Last Update Date	:	06/17/2025

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Directions to “ AUSTIN HECKMAN ” Practice Location

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