Damir Hecimovic, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT006446 Issued in GA

Practice address

7 Dunwoody Park Ste 104
Atlanta, GA 30338-6711

Phone

(678) 576-7563

NPI assigned

Aug 28, 2017

Reactivated

Feb 3, 2021

Last updated

Apr 6, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• DH Therapy Atlanta

  • Behavior Analyst
  • Atlanta, GA
  • NPI 1780393868

  Single Specialty

  NPD Authorized official
• DH Therapy LLC

  • Behavior Analyst
  • Atlanta, GA
  • NPI 1710608906
  NPD Authorized official
• DH Therapy LLC

  • Pediatric Occupational Therapist
  • Atlanta, GA
  • NPI 1750846291
  NPD Authorized official

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1104343359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 OAK ALLEY CT",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300228032",
            "telephone_number": "678-576-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 DUNWOODY PARK STE 104",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386711",
            "telephone_number": "678-576-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECIMOVIC",
        "first_name": "DAMIR",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-28",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "deactivation_date": "2021-01-20",
        "reactivation_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT006446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OT006446",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristi Lynn Hebert, M.D.
• Mark G Hebert, NP-C
• Vanessa H Hebert, LCSW
• William Thomas Hebson
• Elizabeth Madeline Hechenbleikner, MD
• Patrick Heckathorn
• Isabel Heckman, LPC
• Alexander Hedaya
• Ellis V Hedaya, M.D.
• Trisha Hedden, CRNA

• Occupational Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.