Individual provider Active NPI

Heather Foerster-Bach, OT

  • Occupational Therapist
  • Woodbury, MN
National Provider Identifier
1013005164
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
103683 Issued in MN
Practice address
10459 Raleigh Rd
Woodbury, MN 55129-4202
Phone
(928) 607-4233
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT.0003320 CO
Occupational Therapist 225X00000X 103683 MN Primary

Addresses

Primary practice location

10459 Raleigh Rd
Woodbury, MN 55129-4202

Mailing address

10459 Raleigh Rd
Woodbury, MN 55129-4202
Phone (928) 607-4233

Other identifiers 1

IdentifierTypeStateIssuer
813867OtherAZAHCCCS NUMBER

Other names 1

  • Heather Bach Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110503000292 MN Practitioner - Occupational Therapist in Private Practice 7911182159 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT.0003320COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
HFB Therapy Services, LLC Occupational Therapist CurrentSince May 16, 2021 Accepting new patients
Fairview Express Care CurrentSince Apr 17, 2021 Accepting new patients
Fairview Express Care CurrentSince Apr 17, 2021 Accepting new patients
Fairview Express Care Current Accepting new patients
Family Achievement Center Inc. Occupational Therapist PastSince Feb 26, 2008 Accepting new patients
Fairview Health Services Past Accepting new patients

Locations

3305 Central Park Village Dr
Ste 130
Eagan, MN 55121
Phone (651) 406-8701

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

3305 Central Park Village Dr
#130
Saint Paul, MN 55121

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1013005164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10459 RALEIGH RD",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551294202",
            "telephone_number": "928-607-4233",
            "fax_number": "928-607-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10459 RALEIGH RD",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551294202",
            "telephone_number": "928-607-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOERSTER-BACH",
        "first_name": "HEATHER",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0003320",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "103683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS NUMBER",
            "identifier": "813867",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "BACH",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.