Individual provider Active NPI

Heather Vandyke

  • Occupational Therapist
  • Huntsville, AL
National Provider Identifier
1487328746
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
802 Shoney Dr SW Ste C
Huntsville, AL 35801-5435
Phone
(256) 509-4398
NPI assigned
Aug 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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 Primary

Addresses

Primary practice location

802 Shoney Dr SW Ste C
Huntsville, AL 35801-5435

Mailing address

PO Box 1647
Huntsville, AL 35807-0647
Phone (256) 509-4398

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210830000357 AL Practitioner - Occupational Therapist in Private Practice 1658776695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
University of Alabama School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Achievements, LLCGroup PAC ID 5991865172, 13 clinicians

Practice addresses (Care Compare)

802 Shoney Dr SW
Suite C
Huntsville, AL 35801-5435
Phone (256) 509-4398

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2977ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Achievements, LLC Occupational Therapist CurrentSince Aug 2, 2021 Accepting new patients

Locations

802 Shoney Dr SW
Ste C
Huntsville, AL 35801
Phone (256) 509-4398

3601 Cci Dr NW
Ste 270
Huntsville, AL 35805
Phone (256) 509-4398

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.

NPI Registry JSON

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1487328746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1647",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358070647",
            "telephone_number": "256-509-4398",
            "fax_number": "800-317-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 SHONEY DR SW STE C",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015435",
            "telephone_number": "256-509-4398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDYKE",
        "first_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.