Amy D Heathfield, OTR
Individual provider Active NPI Occupational Therapist · Coopersville, MI
NPI 1083690697 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1083690697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 5201005483 (MI)
- Practice address
- 25 Conran Dr
Coopersville, MI 49404-1366 - Phone
- (616) 997-6172
- Fax
- (616) 997-6178
- NPI assigned
- Dec 16, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201005483 | MI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Hand Center, PLC | Occupational Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201005483 | MI | Yes |
Addresses
Primary practice location
25 Conran Dr
Coopersville, MI 49404-1366
Mailing address
653 East St
Coopersville, MI 49404-1132
Phone (616) 212-1227
Other providers in Coopersville, MI
- Nicholas Arthur Feldpausch
- Molly Gladding
- Great Lakes Net
- Stephanie Hansma
- Hardman Medical PLLC
- Krista Hilden
- Roger Holman
- Samuel Honderd
- Terri Jeurink
- Scott Karasinski
All providers in Coopersville, MI · Occupational Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.