Theresa Omolola Heineman

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

103873 Issued in MN

Practice address

8320 City Centre Dr
Suite G.
Woodbury, MN 55125-3382

Phone

(651) 738-9888

Fax

(651) 738-9889

NPI assigned

Apr 19, 2010

Last updated

Sep 27, 2010By 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 1

Addresses

Other names 1

• Theresa Omolola Bello Former name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Therapy Ops, LLC

  • Speech-Language Pathologist
  • Inver Grove Heights, MN
  • NPI 1013323559
  Medicare reassignment NPD

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285545600000",
    "number": "1548586316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8320 CITY CENTRE DR",
            "address_2": "SUITE G.",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253382",
            "telephone_number": "651-738-9888",
            "fax_number": "651-738-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8320 CITY CENTRE DR",
            "address_2": "SUITE G.",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253382",
            "telephone_number": "651-738-9888",
            "fax_number": "651-738-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINEMAN",
        "first_name": "THERESA",
        "middle_name": "OMOLOLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-19",
        "last_updated": "2010-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MN",
            "license": "103873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "BELLO",
            "middle_name": "OMOLOLA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Megan Anne Heck, PA-C
• Madison Heckathorn
• John Heddle
• Paul Michael Hegstrom III, OTR/L
• Alan E. Hein, OD
• Jane Helgesen, RN, IBCLC
• Jennifer Helgeson
• Helix LLC
• Lisa Faye Hellerud, D.C.
• Michelle L Helmer, LICSW

• Pediatric Occupational Therapist in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Pediatric Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.