Active NPI
Monica L Heinemann, O.T.
- Occupational Therapist
- Phoenix, AZ
National Provider Identifier
1659355022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1808
- Practice address
- 5777 E Mayo Blvd
Phoenix, AZ 85054-4502 - Phone
- (480) 301-8000
- NPI assigned
- Nov 30, 2005
- Last updated
- Oct 15, 2020
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1808 | AZ | Primary |
Addresses
Primary practice location
5777 E Mayo Blvd
Phoenix, AZ 85054-4502
Mailing address
5777 E Mayo Blvd
Phoenix, AZ 85054-4502
Phone (480) 301-8000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mheinemann388403@ehrdirect.mayoclinicmsg.org |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Enhancing Therapies | Occupational Therapist | Past | Accepting new patients |
| BHSM Rehabilitation, LLC | Past | Accepting new patients | |
| BHSM Rehabilitation, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
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- Glendale, AZ
- NPI 1235654237
-
dba Banner Physical Therapy and Rehabilitation
- Physical Therapy Clinic/Center
- Peoria, AZ
- NPI 1285271684
-
- Physical Therapy Assistant
- Rancho Cucamonga, CA
- NPI 1093849754
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602720000000",
"number": "1659355022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5777 E MAYO BLVD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850544502",
"telephone_number": "480-301-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5777 E MAYO BLVD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850544502",
"telephone_number": "480-301-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINEMANN",
"first_name": "MONICA",
"middle_name": "L",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-30",
"last_updated": "2020-10-15",
"certification_date": "2020-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "1808",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mheinemann388403@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "5777 E Mayo Blvd",
"city": "Phoenix",
"state": "AZ",
"country_code": "US",
"postal_code": "850544502",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.