Active NPI
Michelle Lee Heitmeyer, COTA/L 02954
- Occupational Therapy Assistant
- Fort Jennings, OH
National Provider Identifier
1508501842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 02954
- Practice address
- 19369 Road 20P
Fort Jennings, OH 45844-8975 - Phone
- (419) 230-6333
- NPI assigned
- May 2, 2022
- Last updated
- May 2, 2022
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 224Z00000X | 02954 | OH | Primary |
Addresses
Primary practice location
19369 Road 20P
Fort Jennings, OH 45844-8975
Mailing address
19369 Road 20P
Fort Jennings, OH 45844-8975
Phone (419) 230-6333
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 |
|---|---|---|---|
| 02954 | OH | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651449600000",
"number": "1508501842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19369 ROAD 20P",
"city": "FORT JENNINGS",
"state": "OH",
"postal_code": "458448975",
"telephone_number": "419-230-6333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19369 ROAD 20P",
"city": "FORT JENNINGS",
"state": "OH",
"postal_code": "458448975",
"telephone_number": "419-230-6333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEITMEYER",
"first_name": "MICHELLE",
"middle_name": "LEE",
"credential": "COTA/L 02954",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-02",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "OH",
"license": "02954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Jennings, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.