Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eric Hefferon, PT

Individual provider Physical Therapist · NPI 1295061430

Eric Hefferon, PT is a Physical Therapist in Private Practice in Glendale, Arizona. Qualified in 2009, 17 years ago. Practices with Impact Physical Therapy 3 LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
17
Licensed in
AZ
In the registry since
2009
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

19420N 59th Ave E500
Glendale, AZ 85308-6881
Phone: (623) 208-7575
Fax: (866) 281-9664
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 8663PT (AZ)

Record details

NPI number1295061430
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedOctober 22, 2009
Last updated in NPPESDecember 14, 2015
Mailing address19420n 59th Ave E500, Glendale, AZ 85308-6881

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Impact Physical Therapy 3 Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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