Individual provider Active NPI

Caitlyn Heavner, OTR/L

  • Occupational Therapist
  • Frostburg, MD
National Provider Identifier
1306651674
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
10457 Issued in MD
Practice address
11046 New Georges Creek Rd SW
Frostburg, MD 21532-1448
Phone
(240) 284-2600
NPI assigned
Feb 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 10457 MD Primary
Occupational Therapist 225X00000X 2536 WV

Addresses

Primary practice location

11046 New Georges Creek Rd SW
Frostburg, MD 21532-1448

Mailing address

11046 New Georges Creek Rd SW
Frostburg, MD 21532-1448
Phone (240) 284-2600

Other practice location 1

4767 Frankfort Hwy
Ridgeley, WV 26753-7772
Phone (304) 738-4045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250408002170 WV Practitioner - Occupational Therapist in Private Practice 7618491994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
X-Cel Performance Rehab LLCGroup PAC ID 6608173877, 7 clinicians

Practice addresses (Care Compare)

4767 Frankfort Hwy
Ridgeley, WV 26753-7772
Phone (304) 738-4045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10457MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
School Therapy Services, Inc CurrentSince Aug 10, 2025 Accepting new patients
X-Cel Performance Rehab LLC CurrentSince Mar 3, 2025 Accepting new patients

Locations

11046 New Georges Creek Rd SW
Frostburg, MD 21532
Phone (240) 284-2600

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1306651674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11046 NEW GEORGES CREEK RD SW",
            "city": "FROSTBURG",
            "state": "MD",
            "postal_code": "215321448",
            "telephone_number": "240-284-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11046 NEW GEORGES CREEK RD SW",
            "city": "FROSTBURG",
            "state": "MD",
            "postal_code": "215321448",
            "telephone_number": "240-284-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4767 Frankfort Hwy",
            "address_purpose": "LOCATION",
            "city": "Ridgeley",
            "state": "WV",
            "postal_code": "267537772",
            "country_code": "US",
            "telephone_number": "304-738-4045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEAVNER",
        "first_name": "CAITLYN",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "10457",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WV",
            "license": "2536",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frostburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.