Heather Rose Hoffman, OTR/L

Individual provider Active NPI Occupational Therapist · Gainesville, MO

NPI 1447261185 · NPPES record last updated Oct 23, 2007

Key facts

NPI
1447261185
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
2003019075 (MO)
Practice address
HC 3 Box 170
Gainesville, MO 65655-9524
Phone
(417) 679-4260
Fax
(417) 679-4270
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Specialist Clinic, Inc. Occupational Therapist Past
since Aug 1, 2004
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2003019075 MO Yes

Addresses

Primary practice location

HC 3 Box 170
Gainesville, MO 65655-9524

Mailing address

1355 County Road 6720
Pottersville, MO 65790-9656
Phone (417) 257-9764

Other identifiers

IdentifierTypeStateIssuer
4979146813MedicaidMO

Other providers in Gainesville, MO

All providers in Gainesville, MO · Occupational Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.