Individual provider Active NPI

Heather F Stanford, OT

  • Occupational Therapist
  • Athens, AL
National Provider Identifier
1356471569
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT1603 Issued in AL
Practice address
22270 US Highway 72
Athens, AL 35613-2604
Phone
(256) 232-1221
Fax
(256) 232-1231
NPI assigned
Mar 6, 2007
Last updated
Jun 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT1603 AL Primary

Addresses

Primary practice location

22270 US Highway 72
Athens, AL 35613-2604

Mailing address

1908 Flint Rd SE
Decatur, AL 35601-6031
Phone (256) 340-9708

Other identifiers 2

IdentifierTypeStateIssuer
1003819608OtherALGROUP NPI
529917620MedicaidAL

Other names 1

  • Heather Breedlove Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040429001245 AL Practitioner - Occupational Therapist in Private Practice 2567459589 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
University of Alabama School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Encore Rehabilitation, IncGroup PAC ID 3577462126, 182 clinicians

Practice addresses (Care Compare)

22423 US Hwy 72
Suite C
Athens, AL 35613-2663
Phone (256) 232-1221

5643 Sermon Rd S
B
Theodore, AL 36582-3608
Phone (251) 660-1505

Merit-based Incentive Payment System (MIPS)

Final score
89.66 of 100Reported as group
Quality
90
Promoting interoperability
94
Improvement activities
40
Cost
80.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT1603ALMDOccupational Therapist
1603ALMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sportsmed Orthopaedic Specialists CurrentSince Aug 1, 2016 Accepting new patients
Sportsmed Orthopaedic Specialists, PC CurrentSince Aug 1, 2016 Accepting new patients
Encore Rehabilitation, Inc. Past Accepting new patients
Encore Rehabilitation, Inc. Past Accepting new patients
Encore Rehabilitation Inc Past Accepting new patients
Encore Rehabilitation Inc Past Accepting new patients

Locations

22270 US Highway 72
Athens, AL 35613
Phone (256) 230-9606

22423 US Highway 72
Ste B
Athens, AL 35613
Phone (256) 232-1211

2506 Danville Rd SW
#B
Decatur, AL 35603
Phone (256) 350-0906

4715 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 319-8500

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1356471569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 FLINT RD SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356016031",
            "telephone_number": "256-340-9708",
            "fax_number": "256-340-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22270 US HIGHWAY 72",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356132604",
            "telephone_number": "256-232-1221",
            "fax_number": "256-232-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANFORD",
        "first_name": "HEATHER",
        "middle_name": "F",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "OT1603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1003819608",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529917620",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "BREEDLOVE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Athens, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.