Heather Lee Pelletier, COTA
Individual provider Active NPI Specialist · Johnston, RI
NPI 1619008836 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1619008836
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- OTA00218 (RI)
- Practice address
- 10 Memorial Ave
Johnston, RI 02919-3222 - Phone
- (401) 233-1900
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA00218 | RI | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnston Public Schools | Past | Accepting new patients | |
| Johnston Public Schools | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | OTA00218 | RI | Yes |
Addresses
Primary practice location
10 Memorial Ave
Johnston, RI 02919-3222
Mailing address
112 Torrington Dr
Warwick, RI 02889
Phone (401) 737-9090
Other names
- Heather Lee Vale
Other providers in Johnston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.