Amy Marie Heumiller, OT/L
Individual provider Active NPI Occupational Therapist · Salem, SD
NPI 1265629471 · NPPES record last updated Jan 25, 2011
Key facts
- NPI
- 1265629471
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 0119 (SD)
- Practice address
- 511 S. Nebraska
Salem, SD 57058 - Phone
- (605) 421-1728
- Fax
- (605) 425-2463
- NPI assigned
- Oct 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- McCook Therapy
Practice addresses (Care Compare)
511 S Nebraska St
Salem, SD 57058-8917
Phone (605) 425-3303
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110314000884 | SD | Practitioner - Occupational Therapist in Private Practice | 6800078031 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McCook Therapy & Wellness, LLC | Current |
Accepting new patients | |
| McCook Therapy | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119 | SD | Yes |
Addresses
Primary practice location
511 S. Nebraska
Salem, SD 57058
Mailing address
44110 254TH St
Salem, SD 57058-5536
Phone (605) 421-1728
Other providers in Salem, SD
- Mary Dick Langrock
- Samantha Drealan
- Darcy Sue Ducheneaux
- Emily Rose Duffek
- Leah Harms
- Kristy Marie Hodne
- Jenny Hofer
- McCook County Dentalcenter,PC
- McCook County Emergency Medical Service Inc
- McCook Therapy
All providers in Salem, SD · Occupational Therapist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.