Active NPI
Jason John Heinrich, OTD, OTR/L
- Occupational Therapist
- Waxhaw, NC
National Provider Identifier
1356229033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 17875
- Practice address
- 1229 Toteros Dr
Waxhaw, NC 28173-6950 - Phone
- (704) 649-4509
- NPI assigned
- Aug 22, 2025
- Last updated
- Aug 22, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 17875 | NC | Primary |
| Pediatric Occupational Therapist | 225XP0200X | 17875 | NC |
Addresses
Primary practice location
1229 Toteros Dr
Waxhaw, NC 28173-6950
Mailing address
344 W 8TH St
Claremont, CA 91711-4318
Phone (909) 360-6229
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 |
|---|---|---|---|
| 17875 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milestone Therapy Inc | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Occupational Therapist
- Waxhaw, NC
- NPI 1487824405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755820800000",
"number": "1356229033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "344 W 8TH ST",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "917114318",
"telephone_number": "909-360-6229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1229 TOTEROS DR",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281736950",
"telephone_number": "704-649-4509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINRICH",
"first_name": "JASON",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-22",
"last_updated": "2025-08-22",
"certification_date": "2025-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "17875",
"primary": true
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NC",
"license": "17875",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waxhaw, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.