Individual provider Active NPI

Annika Heetderks

  • Occupational Therapist
  • Miami, FL
National Provider Identifier
1720823552
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
25225 Issued in FL
Practice address
4960 SW 72ND Ave Ste 210
Miami, FL 33155-5549
Phone
(305) 461-4702
NPI assigned
Jun 25, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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 25225 FL Primary

Addresses

Primary practice location

4960 SW 72ND Ave Ste 210
Miami, FL 33155-5549

Mailing address

1627 SW 37TH Ave Apt 507
Miami, FL 33145-1768
Phone (786) 246-1446

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
25225FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alliete Alfano, SLP, P.a. CurrentSince Jun 30, 2024 Accepting new patients
Marcelo J Alfano Psy D PA PastSince Jun 30, 2024 Accepting new patients

Locations

4960 SW 72nd Ave
Ste 210
Miami, FL 33155
Phone (305) 461-4702

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1720823552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 SW 37TH AVE APT 507",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331451768",
            "telephone_number": "786-246-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4960 SW 72ND AVE STE 210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555549",
            "telephone_number": "305-461-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEETDERKS",
        "first_name": "ANNIKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "25225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.