Active NPI
Heather Marie Souers, CTRS
- Recreation Therapist
- Bloomington, IN
National Provider Identifier
1639319742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 55508
- Practice address
- 1100 S Paper Birch CT
Bloomington, IN 47403-4584 - Phone
- (812) 606-5404
- NPI assigned
- Mar 2, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 55508 | IN | Primary |
Addresses
Primary practice location
1100 S Paper Birch CT
Bloomington, IN 47403-4584
Mailing address
1100 S Paper Birch CT
Bloomington, IN 47403-4584
Phone (812) 606-5404
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55508 | IN | MD | Recreation Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235952000000",
"number": "1639319742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 S PAPER BIRCH CT",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474034584",
"telephone_number": "812-606-5404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 S PAPER BIRCH CT",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474034584",
"telephone_number": "812-606-5404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUERS",
"first_name": "HEATHER",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "CTRS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-02",
"last_updated": "2009-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "IN",
"license": "55508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IN
- Prem Sarita Soni, O.D.
- Vicki Sooy, BCBA
- John C Sorg, MD
- Rachel Anne Sorrells, RBT
- Marla J Souder, PSY.D., HSPP
- Soul Insight Counseling Services
- South Central Community Action Program
- South Central Oral & Maxillofacial Surgery, LLC
- Southern Indiana Anesthesiology
- Southern Indiana Family Practice Center PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.