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

Mary M Heerdt, PT

Individual provider Physical Therapist · NPI 1144750100

Mary M Heerdt, PT is a Physical Therapist in Private Practice in Reno, Nevada. Qualified in 2017, 9 years ago. Practices with Kime Performance Nevada LLC, a 6-clinician group. Licensed in Nevada and Vermont.

Years since qualifying
9
Licensed in
NV, VT
In the registry since
2017
Specialties on file
2
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

5301 Longley Ln Ste 81
Reno, NV 89511-1868
Phone: (916) 905-6378
Fax: (916) 672-0114
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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 4420 (NV)
Physical Therapist Taxonomy 225100000X · Licence 0130264 (VT)

Record details

NPI number1144750100
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 13, 2017
Last updated in NPPESMay 12, 2021
Certification dateMay 12, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Kime Performance Nevada Llc — 6 clinicians
Accepts Medicare assignment Not indicated

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