Individual provider Active NPI

Heather Lyn Retske

  • Occupational Therapist
  • Sunny Isles Beach, FL
National Provider Identifier
1144362153
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT9537 Issued in FL
Practice address
19390 Collins Ave
425
Sunny Isles Beach, FL 33160-2200
Phone
(305) 467-0779
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 OT9537 FL Primary

Addresses

Primary practice location

19390 Collins Ave
425
Sunny Isles Beach, FL 33160-2200

Mailing address

19390 Collins Ave
425
Sunny Isles Beach, FL 33160-2200
Phone (305) 467-0779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210305000662 FL Practitioner - Occupational Therapist in Private Practice 6800202490 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Leverage Health IncGroup PAC ID 4688860513, 32 clinicians

Practice addresses (Care Compare)

2655 E Oakland Park Blvd
Suite 5
Fort Lauderdale, FL 33306-1608
Phone (954) 630-3131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT9537FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Forged Performance and Rehab LLC CurrentSince Dec 24, 2023 Accepting new patients
Florida Movement Therapy Center-Boca Raton, LLC CurrentSince Mar 3, 2021 Accepting new patients
Florida Movement Therapy Center-Boynton Beach Inc Occupational Therapist CurrentSince Mar 3, 2021 Accepting new patients
In Home Rehab of Florida PLLC Occupational Therapist CurrentSince Jan 7, 2026 Accepting new patients
Palm Beach Physical Therapy CurrentSince Aug 1, 2025 Accepting new patients
Leverage Health, Inc. CurrentSince Feb 22, 2023 Accepting new patients
Florida Movement Therapy Center-Gardens LLC Past Accepting new patients

Locations

21345 Powerline Rd
Ste 100
Boca Raton, FL 33433
Phone (561) 883-7800

12040 S Jog Rd
Ste 8
Boynton Beach, FL 33437
Phone (561) 733-5083

2655 E Oakland Park Blvd
Ste 5
Oakland Park, FL 33306
Phone (954) 630-3131

Organizations & group practices 7

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144362153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19390 COLLINS AVE",
            "address_2": "425",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331602200",
            "telephone_number": "305-467-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19390 COLLINS AVE",
            "address_2": "425",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331602200",
            "telephone_number": "305-467-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETSKE",
        "first_name": "HEATHER",
        "middle_name": "LYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT9537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunny Isles Beach, FL

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.