Individual provider Active NPI

Jody L Heyman, OT

  • Occupational Therapist
  • Cleveland, OH
National Provider Identifier
1568412187
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT002643 Issued in OH
Practice address
781 Beta Dr
Suite C
Cleveland, OH 44143-2356
Phone
(440) 460-0344
Fax
(440) 460-1767
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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 OT002643 OH Primary

Addresses

Primary practice location

781 Beta Dr
Suite C
Cleveland, OH 44143-2356

Mailing address

35755 Spatterdock LN
Solon, OH 44139-6502
Phone (440) 542-9167

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040527001138 OH Practitioner - Occupational Therapist in Private Practice 0749261428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

781 Beta Dr
Suite D
Mayfield Village, OH 44143-2360
Phone (440) 460-0344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT002643OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hands on Rehabilitation, Inc. Occupational Therapist CurrentSince Apr 26, 2007 Accepting new patients
Brahms, Cohn & Leb, Inc Past Accepting new patients

Locations

781 Beta Dr
Ste C
Mayfield Village, OH 44143
Phone (440) 442-7111

781 Beta Dr
Ste D
Mayfield Vlg, OH 44143
Phone (440) 460-0344

Organizations & group practices 2

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1568412187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35755 SPATTERDOCK LN",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441396502",
            "telephone_number": "440-542-9167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 BETA DR",
            "address_2": "SUITE C",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441432356",
            "telephone_number": "440-460-0344",
            "fax_number": "440-460-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEYMAN",
        "first_name": "JODY",
        "middle_name": "L",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT002643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.