Yvonne Vander Heiden, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5161-27 Issued in WI

Practice address

2121 S Oneida St
Green Bay, WI 54304-4617

Phone

(920) 209-0012

NPI assigned

Sep 15, 2015

Last updated

Dec 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Body & Soul MFR Therapy LLC

  • Occupational Therapist
  • Green Bay, WI
  • NPI 1376287896

  Occupational Therapy Assistant

  NPD Authorized official

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1316316730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W TOWN RD",
            "city": "PULASKI",
            "state": "WI",
            "postal_code": "541629278",
            "telephone_number": "920-209-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 S ONEIDA ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543044617",
            "telephone_number": "920-209-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER HEIDEN",
        "first_name": "YVONNE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2022-12-12",
        "certification_date": "2022-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057.004262",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "5161-27",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Eugene Vandenhouten, PH.D., D.O.M., L.AC.
• Jamie Vandenhouten, PTA
• Karen Vandenhouten
• Stacy L Vandenput, CPM LICENSED MIDWIFE
• Mackenzie Rose Vander Bloomen, MSN, FNP-C
• Paul David Vander Kelen, D.D.S.
• Katherine Mary Vander Zanden, APNP
• Katherine Vanderheiden, MAC
• Vanderleest Dental LLC
• Marcus James Vanderleest, DDS

• Occupational Therapy Assistant in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.