Active NPI
Jessica Heffner, OTR/L
- Occupational Therapist
- Rome, NY
National Provider Identifier
1639796725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 024205-01
- Practice address
- 1500 N James St
Rome, NY 13440-2844 - Phone
- (315) 338-7000
- NPI assigned
- Jul 6, 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 | 024205-01 | NY | Primary |
Addresses
Primary practice location
1500 N James St
Rome, NY 13440-2844
Mailing address
1500 N James St
Rome, NY 13440-2844
Other practice location 1
10948 N Gage Rd
Barneveld, NY 13304-2036
Phone (607) 377-4586
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12670 Creekside LN
Suite 202
Fort Myers, FL 33919-3370
Phone (239) 482-2663
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024205-01 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Center of Florida, Inc | Single Specialty | Current | Accepting new patients |
| Orthopedic Center of Florida, Inc | Current | Accepting new patients |
Locations
12670 Creekside Ln
Ste 202
Fort Myers, FL 33919
Phone (239) 267-2263
3530 Kraft Rd
Ste 201
Naples, FL 34105
Phone (239) 445-2112
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Fort Myers, FL
- NPI 1912932047
Single Specialty
-
- Durable Medical Equipment & Medical Supplies
- Estero, FL
- NPI 1316700768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626307200000",
"number": "1639796725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 N JAMES ST",
"city": "ROME",
"state": "NY",
"postal_code": "134402844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 N JAMES ST",
"city": "ROME",
"state": "NY",
"postal_code": "134402844",
"telephone_number": "315-338-7000"
}
],
"practiceLocations": [
{
"address_1": "10948 N Gage Rd",
"address_purpose": "LOCATION",
"city": "Barneveld",
"state": "NY",
"postal_code": "133042036",
"country_code": "US",
"telephone_number": "607-377-4586",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEFFNER",
"first_name": "JESSICA",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-06",
"last_updated": "2021-07-15",
"certification_date": "2021-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "NY",
"license": "024205-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rome, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.