Provider Demographics
NPI:1093781403
Name:HIELEMA, FRANK J (PT)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:J
Last Name:HIELEMA
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:926 WILLIAMSON DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27608-2308
Mailing Address - Country:US
Mailing Address - Phone:919-832-1394
Mailing Address - Fax:919-838-0439
Practice Address - Street 1:926 WILLIAMSON DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27608-2308
Practice Address - Country:US
Practice Address - Phone:919-832-1394
Practice Address - Fax:919-838-0439
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-24
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9042251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0786TOtherBLUE CROSS BLUE SHIELD
NC7210586Medicaid
NC0786TOtherBLUE CROSS BLUE SHIELD