Active NPI
Heather M Vick, OTR/L
- Occupational Therapist
- Charleston, SC
National Provider Identifier
1447402292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2422
- Practice address
- 1571 Sanford Rd
Charleston, SC 29407-6952 - Phone
- (704) 241-3432
- NPI assigned
- Oct 10, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5536 | NC | |
| Occupational Therapist | 225X00000X | 2422 | SC | Primary |
Addresses
Primary practice location
1571 Sanford Rd
Charleston, SC 29407-6952
Mailing address
1571 Sanford Rd
Charleston, SC 29407-6952
Phone (704) 241-3432
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5536 | NC | MD | Professional Counselor |
| 2422 | SC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416268800000",
"number": "1447402292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1571 SANFORD RD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294076952",
"telephone_number": "704-241-3432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1571 SANFORD RD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294076952",
"telephone_number": "704-241-3432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICK",
"first_name": "HEATHER",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-10",
"last_updated": "2014-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "5536",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "2422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.