Active NPI
Heidi Edgar, MOT, OTR/L
- Occupational Therapist
- Newark, DE
National Provider Identifier
1588846000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT006498
- Practice address
- 630 Churchmans Rd Ste 100a
Newark, DE 19702-1943 - Phone
- (302) 544-5055
- NPI assigned
- Nov 27, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | U1-0012476 | DE | |
| Occupational Therapist | 225X00000X | OT006498 | GA | Primary |
| Occupational Therapist | 225X00000X | 134193 | KY |
Addresses
Primary practice location
630 Churchmans Rd Ste 100a
Newark, DE 19702-1943
Mailing address
630 Churchmans Rd Ste 100a
Newark, DE 19702-1943
Phone (302) 544-5055
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 283615701 | Medicaid | TX | |
| 250698468 | Medicaid | DE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U1-0012476 | DE | MD | Occupational Therapist |
| OT006498 | GA | MD | Occupational Therapist |
| 134193 | KY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theraplay, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic/Center
- West Chester, PA
- NPI 1982032793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1588846000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 CHURCHMANS RD STE 100A",
"city": "NEWARK",
"state": "DE",
"postal_code": "197021943",
"telephone_number": "302-544-5055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 CHURCHMANS RD STE 100A",
"city": "NEWARK",
"state": "DE",
"postal_code": "197021943",
"telephone_number": "302-544-5055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDGAR",
"first_name": "HEIDI",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-27",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "DE",
"license": "U1-0012476",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT006498",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "134193",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "283615701",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "250698468",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.