Heather Manning, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA-1605 Issued in ID

Practice address

1220 Montana St
Gooding, ID 83330-1856

Phone

(208) 934-5601

NPI assigned

May 26, 2016

Last updated

May 26, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1619325933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 MONTANA ST",
            "city": "GOODING",
            "state": "ID",
            "postal_code": "833301856",
            "telephone_number": "208-934-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 MONTANA ST",
            "city": "GOODING",
            "state": "ID",
            "postal_code": "833301856",
            "telephone_number": "208-934-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "HEATHER",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "ID",
            "license": "OTA-1605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Lancaster
• Shawnee B Legarreta, RN
• Cheyanna Christine Lierman, OTR/L
• Danielle Macarthur Lofgran, CARN/ CASE MANAGER
• Reid Wayne Lofgran, DO
• Mark C. Lambert, DMD PC (Gooding Family and Cosmetic Dentistry)
• John Mason, BA, CADC
• Amanda Marie McCrorey, SUDA
• Mark McMurdie, RN
• Tyler McOmber, OTR/L

• Occupational Therapy Assistant in Gooding, ID
• Providers in Gooding, ID by specialty
• Occupational Therapy Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.