Active NPI
Heidi Jasper-Petrozzino
- Occupational Therapist
- Farmington, NM
National Provider Identifier
1487034286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 116752
- Practice address
- PO Box 3385
Farmington, NM 87499-3385 - Phone
- (773) 558-5122
- NPI assigned
- Jun 5, 2015
- 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 | 116752 | TX | Primary |
Addresses
Primary practice location
PO Box 3385
Farmington, NM 87499-3385
Mailing address
PO Box 3385
Farmington, NM 87499-3385
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 |
|---|---|---|---|
| 116752 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1487034286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3385",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874993385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 3385",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874993385",
"telephone_number": "773-558-5122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JASPER-PETROZZINO",
"first_name": "HEIDI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-05",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "116752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.