Heartland Pediatric Therapy Services, LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

5309 Issued in NC

Legal business name

HEARTLAND PEDIATRIC THERAPY SERVICES, LLC

Practice address

4805 Hearthstone Rd
Clemmons, NC 27012-7710

Phone

(336) 972-0904

NPI assigned

Feb 4, 2008

Organization subpart

No

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

Authorized official

Name

Lisa E Towery, OTR/L

Title

Owner

Phone

(336) 972-0904

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1184802068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 HEARTHSTONE RD",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270127710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 HEARTHSTONE RD",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270127710",
            "telephone_number": "336-972-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND PEDIATRIC THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "TOWERY",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-972-0904",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "5309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Collette Hatley
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• Renee Childress Haynes, FNP-C
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• Arin Lee Heath, LCSW, MSW
• Eric Warren Hein, M.D.
• Melissa Ann Helman, M.D.
• Steven Edward Helman, M.D.
• Camilla Elizabeth Helton, PA

• Pediatric Occupational Therapist in Clemmons, NC
• Providers in Clemmons, NC by specialty
• Pediatric Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.