Active NPI
Dawn Heiderscheidt, OT
- Occupational Therapist
- Philadelphia, PA
National Provider Identifier
1629687546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC013570
- Practice address
- 7421 Keiffer St
Philadelphia, PA 19128-1415 - Phone
- (610) 416-3628
- NPI assigned
- Jul 27, 2020
- Last updated
- Jul 27, 2020
- 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 | OC013570 | PA | Primary |
Addresses
Primary practice location
7421 Keiffer St
Philadelphia, PA 19128-1415
Mailing address
7421 Keiffer St
Philadelphia, PA 19128-1415
Phone (610) 416-3628
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Philadelphia, PA 19128
Phone (610) 416-3628
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC013570 | PA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Independence | Multi-Specialty | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595808000000",
"number": "1629687546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7421 KEIFFER ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191281415",
"telephone_number": "610-416-3628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7421 KEIFFER ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191281415",
"telephone_number": "610-416-3628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIDERSCHEIDT",
"first_name": "DAWN",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-27",
"last_updated": "2020-07-27",
"certification_date": "2020-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC013570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.