NICHOLAS HECK – Physical Therapist, NPI 1134703465

NICHOLAS HECK is a healthcare provider. based in Corvallis, Oregon. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 64061 (OR). The NPI Number for NICHOLAS HECK is 1134703465

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS HECK
NPI
1134703465
Phone
(541) 752-0545
Address
2635 NW ROLLING GREEN DR
Enumeration Date
12 May 2021
Last Update Date
12 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5413685986
Graduation Year
2021 (5 years ago)
PAC ID
9032518204
Group Practice PAC ID
0941565162
Professional Enrollment ID
I20210520002966
Address ID
OR973013581SA388XXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,808 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OR

Provider Addresses for NICHOLAS HECK

  • 2635 NW ROLLING GREEN DR

    CORVALLIS, OR 973303519

    Phone: (541) 752-0545

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-05-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210520002966IPhysical Therapist In Private PracticeORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97330)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941565162View full group profile
NameSpecialtyState
Pain Management, AnesthesiologyWA
Physician AssistantWA
Physician AssistantWA
Physician AssistantWA
Interventional Pain Management, Pain ManagementWA
Physician AssistantWA
Physician AssistantWA
Pain Management, AnesthesiologyWA
Physician AssistantOR
Physician AssistantOR

Reviews

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Frequently asked questions

What federal number belongs to NICHOLAS HECK?
The federal identifier for NICHOLAS HECK is NPI 1134703465.
Is NICHOLAS HECK currently active in the NPI registry?
CMS-published data lists NICHOLAS HECK as an active registrant.
What field does NICHOLAS HECK work in?
You can think of NICHOLAS HECK as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is NICHOLAS HECK's primary listing?
We display Corvallis, Oregon because that is what the record indicates for NICHOLAS HECK.
What if Corvallis, Oregon seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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