Active NPI
Mara Heckathorn
- Occupational Therapist
- Reidsville, NC
National Provider Identifier
1578211652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 14828
- Practice address
- 618A S Main St
Reidsville, NC 27320-5020 - Phone
- (336) 951-6090
- NPI assigned
- Mar 16, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225X00000X | 14828 | NC | Primary |
Addresses
Primary practice location
618A S Main St
Reidsville, NC 27320-5020
Mailing address
618A S Main St
Reidsville, NC 27320-5020
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647388800000",
"number": "1578211652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "618A S MAIN ST",
"city": "REIDSVILLE",
"state": "NC",
"postal_code": "273205020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618A S MAIN ST",
"city": "REIDSVILLE",
"state": "NC",
"postal_code": "273205020",
"telephone_number": "336-951-6090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HECKATHORN",
"first_name": "MARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-16",
"last_updated": "2022-03-16",
"certification_date": "2022-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "14828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reidsville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.