Active NPI
Annika Heetderks
- Occupational Therapist
- Miami, FL
National Provider Identifier
1720823552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 25225
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 25225 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliete Alfano, SLP, P.a. | Current | Accepting new patients | |
| Marcelo J Alfano Psy D PA | Past | 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.
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- Miami, FL
- NPI 1508824574
-
- Psychologist
- Coral Gables, FL
- NPI 1376754952
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.