Active NPI
Heidi Marie Higgenbottom, MS,OTR
- Occupational Therapist
- Chesterton, IN
National Provider Identifier
1104200104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 1120 S Calumet Rd
Suite 3
Chesterton, IN 46304-3285 - Phone
- (219) 983-9675
- NPI assigned
- Jul 20, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary | ||
| Pediatric Occupational Therapist | 225XP0200X | 31005943A | IN |
Addresses
Primary practice location
1120 S Calumet Rd
Suite 3
Chesterton, IN 46304-3285
Mailing address
442 Manor Dr
Hobart, IN 46342-2376
Phone (219) 730-0331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104200104 | Medicaid | IN |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31005943A | IN | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524700800000",
"number": "1104200104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "442 MANOR DR",
"city": "HOBART",
"state": "IN",
"postal_code": "463422376",
"telephone_number": "219-730-0331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 S CALUMET RD",
"address_2": "SUITE 3",
"city": "CHESTERTON",
"state": "IN",
"postal_code": "463043285",
"telephone_number": "219-983-9675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIGGENBOTTOM",
"first_name": "HEIDI",
"middle_name": "MARIE",
"credential": "MS,OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-20",
"last_updated": "2018-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "IN",
"license": "31005943A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1104200104",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chesterton, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.