Heather Buckalew, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

214912 Issued in TX

Practice address

3001 Kemp Blvd Apt 701
Wichita Falls, TX 76308-1055

Phone

(979) 739-3147

NPI assigned

Jan 9, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1669282802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 KEMP BLVD APT 701",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763081055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 KEMP BLVD APT 701",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763081055",
            "telephone_number": "979-739-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKALEW",
        "first_name": "HEATHER",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "214912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Bryant
• Levina K Bryant
• Patricia Goforth Bryant, SLP
• Feliciano Bucag, M.D.
• Rami Reddy Buchipudi, M.D
• Surekha Budhlani
• Helen Hong Bui
• Maria Carmen Burleson, RN
• Stacy L Burns, PTA
• Joshua Timothy William Burris, LAT

• Occupational Therapy Assistant in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.