Nicole Lynne Heasley, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

16746 Issued in NC

Practice address

364 S Hwy 16
Ste 100
Stanley, NC 28164

Phone

(704) 746-9698

NPI assigned

Apr 25, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Lake Norman Communication Services, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Mooresville, NC
  • NPI 1467908368
  NPD
• Carolina Kidz Therapy, LLC

  • Speech-Language Pathologist
  • Charlotte, NC
  • NPI 1871125997
  NPD (past)

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1013763598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 WILLIAMSON RD STE 102",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178191",
            "telephone_number": "704-746-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 S HWY 16",
            "address_2": "STE 100",
            "city": "STANLEY",
            "state": "NC",
            "postal_code": "28164",
            "telephone_number": "704-746-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEASLEY",
        "first_name": "NICOLE",
        "middle_name": "LYNNE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-25",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "16746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gaston Family Health Services, Inc.
• Gaston Family Health Services, Inc.
• Dakota Gwiszcz, LCSW
• Hamrs Inc
• Sara Elizabeth Hassett, LCMHC
• Madison Hoover, DMD
• Frederick Mathew Hornack Jr., OD
• Warren Fitzhugh Hoyle, DDS
• J & J Support
• James S Forrester MD PA

• Occupational Therapist in Stanley, NC
• Providers in Stanley, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.