Geralyn M Heitkamp, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

465 Issued in ND

Practice address

2301 25TH St S
Suite B
Fargo, ND 58103-6104

Phone

(701) 280-2212

Fax

(701) 271-1023

NPI assigned

Jun 4, 2006

Last updated

Oct 1, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191196800000",
    "number": "1518905017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5635 COUNTY ROAD 3",
            "city": "KINDRED",
            "state": "ND",
            "postal_code": "580519523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 25TH ST S",
            "address_2": "SUITE B",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036104",
            "telephone_number": "701-280-2212",
            "fax_number": "701-271-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEITKAMP",
        "first_name": "GERALYN",
        "middle_name": "M",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2007-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ND",
            "license": "465",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "101537",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Katherine Heinze, MD
• Meissa Heiple, LPN
• Tyra Heiser
• Taylor Heisler
• Erik Heitkamp, MD
• Kathy A Heitkamp, CDE
• Leesha Madisson Heitkamp, MD
• Amber Kristin Heitmann
• Candice Lee Hejl
• Kari Lynn Hektner, NP

• Occupational Therapist in Fargo, ND
• Providers in Fargo, ND by specialty
• Occupational Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.