Individual provider Active NPI

Heather Danelle Zdimal, MSOTR/L

  • Occupational Therapist
  • Fairfax, VA
National Provider Identifier
1710153317
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119005794 Issued in VA
Practice address
8270 Willow Oaks Corporate Dr # 2120
Fairfax, VA 22031-4511
Phone
(571) 423-4864
NPI assigned
May 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119005794 VA Primary
Specialist 174400000X OT7645 CA

Addresses

Primary practice location

8270 Willow Oaks Corporate Dr # 2120
Fairfax, VA 22031-4511

Mailing address

8270 Willow Oaks Corporate Dr # 2120
Fairfax, VA 22031-4511
Phone (571) 423-4864

Other practice location 1

159 W Santa Cruz Way
Mountain House, CA 95391-1178
Phone (925) 640-3559

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
OT7645CAMDSpecialist
0119005794VAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1710153317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8270 WILLOW OAKS CORPORATE DR # 2120",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314511",
            "telephone_number": "571-423-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8270 WILLOW OAKS CORPORATE DR # 2120",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314511",
            "telephone_number": "571-423-4864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "159 W Santa Cruz Way",
            "address_purpose": "LOCATION",
            "city": "Mountain House",
            "state": "CA",
            "postal_code": "953911178",
            "country_code": "US",
            "telephone_number": "925-640-3559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZDIMAL",
        "first_name": "HEATHER",
        "middle_name": "DANELLE",
        "name_prefix": "Mrs.",
        "credential": "MSOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-02",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119005794",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "OT7645",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; 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.