Individual provider Active NPI

Heather Sandry, OTR/L

  • Occupational Therapist
  • Montgomery, AL
National Provider Identifier
1437586518
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3649 Issued in AL
Practice address
2767 Office Park Cir
Montgomery, AL 36116-1143
Phone
(334) 239-9431
Fax
(334) 239-9415
NPI assigned
Oct 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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 3649 AL Primary

Addresses

Primary practice location

2767 Office Park Cir
Montgomery, AL 36116-1143

Mailing address

110 Glennbrooke LN
Prattville, AL 36066-1956
Phone (501) 231-2406

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200318001677 SC Practitioner - Occupational Therapist in Private Practice 5092143495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenville Proaxis Therapy LLCGroup PAC ID 0244267771, 221 clinicians

Practice addresses (Care Compare)

333 S Pine St
Spartanburg, SC 29302-2622
Phone (864) 515-7580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3649ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Proaxis Therapy, LLC Occupational Therapist CurrentSince Feb 3, 2020 Accepting new patients
Greenville Proaxis Therapy LLC Occupational Therapist CurrentSince Feb 3, 2020 Accepting new patients
Hand and Occupational Therapy Center PastSince Jun 14, 2018 Accepting new patients
Prisma Health University Medical Group Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

33205 Collection Ctr Dr
Chicago, IL 60693

1520 E Greenville St
Ste G
Anderson, SC 29621
Phone (864) 224-6070

838 Powdersville Rd
Ste T
Easley, SC 29642
Phone (864) 671-1650

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

2 Doctors Dr
Greenville, SC 29605
Phone (864) 558-8955

200 Patewood Dr
Ste C250
Greenville, SC 29615
Phone (864) 454-0952

1305 S Suber Rd
Greer, SC 29650
Phone (864) 989-4609

10626 Clemson Blvd
Seneca, SC 29678
Phone (864) 482-0064

10879 Clemson Blvd
Seneca, SC 29678
Phone (864) 482-0085

727 SE Main St
Ste 200
Simpsonville, SC 29681
Phone (864) 454-6670

333 S Pine St
Spartanburg, SC 29302
Phone (864) 515-7500

2660 Reidville Rd
Ste 6
Spartanburg, SC 29301
Phone (864) 576-3738

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1437586518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 GLENNBROOKE LN",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360661956",
            "telephone_number": "501-231-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2767 OFFICE PARK CIR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361161143",
            "telephone_number": "334-239-9431",
            "fax_number": "334-239-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDRY",
        "first_name": "HEATHER",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "3649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.