Tracey B Heldenmuth, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1763 Issued in FL

Practice address

2090 NE 124 St
N. Miami, FL 33181-2617

Phone

(305) 343-5656

Fax

(305) 895-0887

NPI assigned

May 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centerline Physical TherapyGroup PAC ID 6406037134, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Centerline Physical Therapy

  • Physical Therapy Clinic/Center
  • North Miami, FL
  • NPI 1740517739
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1235188327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 NE 124 ST",
            "city": "N. MIAMI",
            "state": "FL",
            "postal_code": "331812617",
            "telephone_number": "305-343-5656",
            "fax_number": "305-895-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 NE 124 ST",
            "city": "N. MIAMI",
            "state": "FL",
            "postal_code": "331812617",
            "telephone_number": "305-343-5656",
            "fax_number": "305-895-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELDENMUTH",
        "first_name": "TRACEY",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT #0001763",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "1763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "Y902J",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8881757000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig B August, DC
• Biscayne Park Medical Center, Inc.
• Chander Shaykher MD PA
• Bily Desrameaux
• Hallak Incorporated
• Margot Denise Jobson Poux, DDS
• Ruth Marcus
• Samuel Mowerman, MD
• Paul Theodore Richman, DDS
• University Health Services-Florida International University-BBC

• Occupational Therapist in N. Miami, FL
• Providers in N. Miami, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.