Active NPI
Michelle Heer, OTR/L
- Occupational Therapist
- Statesville, NC
National Provider Identifier
1447980685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 10856
- Practice address
- 129 N Tradd St
Statesville, NC 28677-5239 - Phone
- (704) 380-0799
- Fax
- (704) 278-0146
- NPI assigned
- Jun 11, 2022
- 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 | 10856 | NC | Primary |
Addresses
Primary practice location
129 N Tradd St
Statesville, NC 28677-5239
Mailing address
129 N Tradd St
Statesville, NC 28677-5239
Phone (704) 380-0799
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.carolinaspeechtherapy.com | Direct |
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 |
|---|---|---|---|
| 10856 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Speech Therapy Inc | Occupational Therapist | Past | Accepting new patients |
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.
-
- Speech-Language Pathologist
- Cleveland, NC
- NPI 1285753939
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689724800000",
"number": "1447980685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 N TRADD ST",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286775239",
"telephone_number": "704-380-0799",
"fax_number": "704-278-0146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 N TRADD ST",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286775239",
"telephone_number": "704-380-0799",
"fax_number": "704-278-0146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEER",
"first_name": "MICHELLE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-11",
"last_updated": "2023-07-19",
"certification_date": "2023-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "10856",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.carolinaspeechtherapy.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "129 N Tradd St",
"city": "Statesville",
"state": "NC",
"country_code": "US",
"postal_code": "286775239",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Statesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.