Samantha Rae Heitner

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.015839 Issued in IL

Practice address

147 Central Rd
New Lenox, IL 60451-2103

Phone

(815) 641-0777

NPI assigned

Jun 8, 2022

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 IL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Fox Rehabilitation Services Il LLC

  • Physical Therapist
  • Westchester, IL
  • NPI 1114443462
  Medicare reassignment

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1679202147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 CENTRAL RD",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604512103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 CENTRAL RD",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604512103",
            "telephone_number": "815-641-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEITNER",
        "first_name": "SAMANTHA",
        "middle_name": "RAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.015839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Hart, MS CCC-SLP
• Andrew Hatfield, NP
• Health Service Systems, Inc
• Health Service Systems, Inc
• Elizabeth A Hederman, FNP-C
• Helping Hands Children'S Therapy Services Inc.
• Helping Hands Children'S Therapy Services, Inc
• Lauren Leigh Hennessy
• Elizabeth Ann Hermanson, MS, CCC-SLP
• Antonia Hernandez, PMHNP-BC

• Occupational Therapist in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.

Verify at the official NPI Registry.