Heather Bain
Individual provider Active NPI Occupational Therapy Assistant · Fort Wayne, IN
NPI 1689097628 · NPPES record last updated Jan 28, 2014
Key facts
- NPI
- 1689097628
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 32002308A (IN)
- Practice address
- 9426 Lima Rd
A
Fort Wayne, IN 46818-8680 - Phone
- (260) 497-0328
- NPI assigned
- Jan 28, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32002308A | IN | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 32002308A | IN | Yes |
Addresses
Primary practice location
9426 Lima Rd
A
Fort Wayne, IN 46818-8680
Mailing address
9426 Lima Rd
A
Fort Wayne, IN 46818-8680
Phone (260) 497-0328
Other providers in Fort Wayne, IN
- Michelle A Bailey
- Shalynn Grace Bailey
- Stephen Bryan Bailey
- Susan Eileen Bailey
- Urian Bailey
- Cheryl Lynn Bair
- Jasmyn Nicole Bair
- Michael E Bair
- Abigail Rose Baird
- Aubrie Baird
All providers in Fort Wayne, IN · Occupational Therapy Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.