Active NPI
Grace Heigl, OTD
- Occupational Therapist
- Surprise, AZ
National Provider Identifier
1366124828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 13601 N Litchfield Rd Ste 124
Surprise, AZ 85379-4260 - Phone
- (623) 322-8350
- NPI assigned
- Aug 3, 2023
- Last updated
- Aug 3, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | NU | Primary |
Addresses
Primary practice location
13601 N Litchfield Rd Ste 124
Surprise, AZ 85379-4260
Mailing address
15508 W Bell Rd Ste 101-261
Surprise, AZ 85374-2432
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240730001104 | MN | Practitioner - Occupational Therapist in Private Practice | 3476090218 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691020800000",
"number": "1366124828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15508 W BELL RD STE 101-261",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853742432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13601 N LITCHFIELD RD STE 124",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853794260",
"telephone_number": "623-322-8350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIGL",
"first_name": "GRACE",
"credential": "OTD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-03",
"last_updated": "2023-08-03",
"certification_date": "2023-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.