Alexandra Marie Heaton, COTA
Individual provider Active NPI Occupational Therapy Assistant · Sherman, IL
NPI 1245802313 · NPPES record last updated Jul 16, 2021
Key facts
- NPI
- 1245802313
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 057.005616 (IL)
- Practice address
- 100 Marian Pkwy
Sherman, IL 62684-9673 - Phone
- (217) 744-2299
- NPI assigned
- Jul 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057.005616 | IL | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 057.005616 | IL | Yes |
Addresses
Primary practice location
100 Marian Pkwy
Sherman, IL 62684-9673
Mailing address
407 Oak Hill Rd
Rochester, IL 62563-9232
Phone (217) 836-1249
Other names
- Alexandra Marie Krug
Other providers in Sherman, IL
- Taylor Edwards
- Kathryn Elzerman
- Hannah Eucker
- Susan Elizabeth Floyd
- John P Folkerts
- Melissa Jo Henrikson
- Amanda Holley
- Lisa Hunt
- Bryan J. Kellenberger
- April M Lanier
All providers in Sherman, IL · Occupational Therapy Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.