Individual provider Active NPI

Kelsey Heafield, OTR/L

  • Occupational Therapist
  • Concord, NH
National Provider Identifier
1053781203
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2518 Issued in NH
Practice address
2 Pillsbury St Ste 404
Concord, NH 03301-3549
Phone
(603) 228-7827
NPI assigned
Sep 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2518 NH Primary

Addresses

Primary practice location

2 Pillsbury St Ste 404
Concord, NH 03301-3549

Mailing address

68 Evergreen Cir
Henniker, NH 03242-3123
Phone (603) 969-4852

Other practice location 1

1 Verney Dr
Greenfield, NH 03047-5000
Phone (603) 547-3311

Other practice location 2

806 N Main St
Laconia, NH 03246-2603
Phone (603) 524-9090

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL kheafield@boothbytherapy.com Boothby Therapy Services, LLC

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

Practice roles

OrganizationSpecialtyStatusNew patients
Swing for the Stars Pediatric Therapy Center, LLC Occupational Therapist PastSince Mar 4, 2021 Accepting new patients

Organizations & group practices 1

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": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1053781203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 EVERGREEN CIR",
            "city": "HENNIKER",
            "state": "NH",
            "postal_code": "032423123",
            "telephone_number": "603-969-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PILLSBURY ST STE 404",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013549",
            "telephone_number": "603-228-7827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Verney Dr",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "NH",
            "postal_code": "030475000",
            "country_code": "US",
            "telephone_number": "603-547-3311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "806 N Main St",
            "address_purpose": "LOCATION",
            "city": "Laconia",
            "state": "NH",
            "postal_code": "032462603",
            "country_code": "US",
            "telephone_number": "603-524-9090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEAFIELD",
        "first_name": "KELSEY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NH",
            "license": "2518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kheafield@boothbytherapy.com",
            "affiliation": "Y",
            "affiliationName": "Boothby Therapy Services, LLC",
            "address_1": "806 N Main St",
            "city": "Laconia",
            "state": "NH",
            "country_code": "US",
            "postal_code": "032462603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.