Organization Active NPI

Theresa Heckman Occupational Therapist

  • Occupational Therapist
  • Rolla, MO
National Provider Identifier
1427180413
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
001270 Issued in MO
Legal business name
THERESA HECKMAN OCCUPATIONAL THERAPIST
Practice address
300 Lanning LN
Rolla, MO 65401-4144
Phone
(573) 368-2393
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Theresa Marie Heckman, OTR
Title
Manager
Phone
(314) 482-8099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 001270 MO Primary

Addresses

Primary practice location

300 Lanning LN
Rolla, MO 65401-4144

Mailing address

205 College Ave
Saint Louis, MO 63119-1631
Phone (314) 482-8099

National Provider Directory

National Provider Directory

Locations

300 Lanning Ln
Rolla, MO 65401
Phone (573) 368-2393

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427180413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 COLLEGE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631191631",
            "telephone_number": "314-482-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LANNING LN",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654014144",
            "telephone_number": "573-368-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA HECKMAN OCCUPATIONAL THERAPIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HECKMAN",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-482-8099",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "001270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolla, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.