Shelby Elizabeth Heithoff, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

177 N Palmer Ave
Fayetteville, AR 72701-2739

Phone

(479) 586-1235

NPI assigned

Aug 4, 2015

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

Enrolled in AR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Pathfinder, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Jacksonville, AR
  • NPI 1326004466
  Medicare reassignment NPD
• Pathfinder, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jacksonville, AR
  • NPI 1629035043
  NPD (past)

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1639555352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 N PALMER AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727012739",
            "telephone_number": "479-586-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 N PALMER AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727012739",
            "telephone_number": "479-586-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEITHOFF",
        "first_name": "SHELBY",
        "middle_name": "ELIZABETH",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-04",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myrrh Hector, APRN
• Amanda L Hedrick, SLP
• Eric Anthony Heim, M.D.
• Andrew Dunsmore Heinzelmann, MD
• Peter Heinzelmann, M.D.
• Brock Helfrich, STUDENT
• Catherine Clare Hellmann, CRNA
• Hello Wellness PLC
• Misha Helm, LMSW
• Sammy Don Helm, MD

• Occupational Therapist in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.