Active NPI
Deborah Heinbaugh Nolan, P.T.
- Specialist
- Worcester, MA
National Provider Identifier
1043433832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2088
- Practice address
- 119 Providence St
Worcester, MA 01604-4429 - Phone
- (508) 860-8000
- NPI assigned
- Apr 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 2088 | MA | Primary |
Addresses
Primary practice location
119 Providence St
Worcester, MA 01604-4429
Mailing address
33 Rollinson Rd
Worcester, MA 01606-1517
Phone (508) 852-0683
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2088 | MA | MD | Neurorehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043433832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 ROLLINSON RD",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016061517",
"telephone_number": "508-852-0683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 PROVIDENCE ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016044429",
"telephone_number": "508-860-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLAN",
"first_name": "DEBORAH",
"middle_name": "HEINBAUGH",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MA",
"license": "2088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.