Individual provider Active NPI

Susan E Heimke, OTR/L, CHT, CLT

  • Hand Occupational Therapist
  • Overland Park, KS
National Provider Identifier
1033436035
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
17-01011 Issued in KS
Practice address
6405 Metcalf Avenue
Suite 220
Overland Park, KS 66202
Phone
(913) 831-2721
Fax
(913) 384-0127
NPI assigned
Apr 29, 2010
Last updated
Apr 29, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 17-01011 KS Primary
Hand Occupational Therapist 225XH1200X 2005035147 MO

Addresses

Primary practice location

6405 Metcalf Avenue
Suite 220
Overland Park, KS 66202

Mailing address

6405 Metcalf Avenue
Suite 220
Overland Park, KS 66202
Phone (913) 831-2721

Other identifiers 1

IdentifierTypeStateIssuer
17-01011OtherKSKANSAS STATE BOARD OF HEALING ARTS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140619000126 MO Practitioner - Occupational Therapist in Private Practice 5698999613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arc Physical Therapy Plus LPGroup PAC ID 6204050453, 59 clinicians

Practice addresses (Care Compare)

1711 W Battlefield St
Suite Q
Springfield, MO 65807-4183
Phone (417) 799-3377

5404 NE Antioch Rd
Arc Gladstone
Kansas City, MO 64119-2507
Phone (816) 454-5818

609 E Platte Clay Way B
Arc Cameron
Cameron, MO 64429-8879
Phone (816) 632-3221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17-01011KSMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arc Physical Therapy Plus LP CurrentSince Jun 1, 2014 Accepting new patients
Arc Physical Therapy Plus LP CurrentSince Jun 1, 2014 Accepting new patients
Arc Rehabilitation Services, LLC Past Accepting new patients

Locations

15455 S Rogers Rd
Olathe, KS 66062
Phone (913) 254-0568

6400 Glenwood St
Ste 111
Overland Park, KS 66202
Phone (877) 344-2721

3009 SW Topeka Blvd
Topeka, KS 66611
Phone (785) 273-1379

6505 E 37th St N
Ste 300
Wichita, KS 67226
Phone (316) 854-2330

6803 W Taft Ave
Ste 303
Wichita, KS 67209
Phone (316) 347-7969

609 E Platte Clay Way
Ste B
Cameron, MO 64429
Phone (816) 632-3221

744 W Stadium Blvd
Ste E
Jefferson City, MO 65109
Phone (573) 418-3990

4500 E 32nd St
#B
Joplin, MO 64804
Phone (417) 680-0806

10400 Hickman Mills Dr
Ste 150
Kansas City, MO 64137
Phone (816) 232-9420

527 N State Route 291
Ste A
Liberty, MO 64068
Phone (816) 792-0849

1931 Burlington St
North Kansas City, MO 64116
Phone (816) 241-2131

2000 Kentucky Ave
Ste D
Platte City, MO 64079
Phone (816) 858-2368

113 Johnstown Dr
Rogersville, MO 65742
Phone (417) 753-7735

1711 W Battlefield St
Ste Q
Springfield, MO 65807
Phone (417) 799-3377

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272499200000",
    "number": "1033436035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 METCALF AVENUE",
            "address_2": "SUITE 220",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66202",
            "telephone_number": "913-831-2721",
            "fax_number": "913-384-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 METCALF AVENUE",
            "address_2": "SUITE 220",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66202",
            "telephone_number": "913-831-2721",
            "fax_number": "913-384-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIMKE",
        "first_name": "SUSAN",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "OTR/L, CHT, CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "KS",
            "license": "17-01011",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MO",
            "license": "2005035147",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS STATE BOARD OF HEALING ARTS",
            "identifier": "17-01011",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.