Active NPI
Ian R Heikel, COTA/L
- Occupational Therapy Assistant
- New York, NY
National Provider Identifier
1255642104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 007205-1
- Practice address
- 328 E 62ND St
New York, NY 10065-8206 - Phone
- (212) 752-7575
- NPI assigned
- Jun 25, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 007205-1 | NY | Primary |
Addresses
Primary practice location
328 E 62ND St
New York, NY 10065-8206
Mailing address
888 Main St
Apt. 930
New York, NY 10044-0213
Phone (646) 678-2353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007205-1 | NY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277424000000",
"number": "1255642104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "888 MAIN ST",
"address_2": "APT. 930",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100440213",
"telephone_number": "646-678-2353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "328 E 62ND ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100658206",
"telephone_number": "212-752-7575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIKEL",
"first_name": "IAN",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-25",
"last_updated": "2010-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "007205-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.