Individual provider Active NPI

Heather C. Powell, OTR

  • Occupational Therapist
  • San Antonio, TX
National Provider Identifier
1679743116
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
110965 Issued in TX
Practice address
7616 Culebra Rd
Suite #115
San Antonio, TX 78251-1476
Phone
(210) 260-6719
Fax
(210) 681-7192
NPI assigned
Mar 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 110965 TX Primary

Addresses

Primary practice location

7616 Culebra Rd
Suite #115
San Antonio, TX 78251-1476

Mailing address

7616 Culebra Rd
Suite #115
San Antonio, TX 78251-1476
Phone (210) 260-6719

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
110965TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1679743116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7616 CULEBRA RD",
            "address_2": "SUITE #115",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782511476",
            "telephone_number": "210-260-6719",
            "fax_number": "210-681-7192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7616 CULEBRA RD",
            "address_2": "SUITE #115",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782511476",
            "telephone_number": "210-260-6719",
            "fax_number": "210-681-7192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "HEATHER",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "110965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.