Individual provider Active NPI

Katherine Ann Howe Heineck, OTD, OTR/L

  • Occupational Therapist
  • Waynesboro, VA
National Provider Identifier
1730619933
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119007971 Issued in VA
Practice address
520 Lew Dewitt Blvd Ste 201
Waynesboro, VA 22980-1644
Phone
(540) 451-2021
Fax
(540) 451-7008
NPI assigned
Jun 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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 T01159 MD
Occupational Therapist 225X00000X 0119007971 VA Primary

Addresses

Primary practice location

520 Lew Dewitt Blvd Ste 201
Waynesboro, VA 22980-1644

Mailing address

520 Lew Dewitt Blvd Ste 201
Waynesboro, VA 22980-1644
Phone (540) 451-2021

Other practice location 1

540 Lew DeWitt Blvd
Suite 4
Waynesboro, VA 22980
Phone (540) 451-2021

Other identifiers 1

IdentifierTypeStateIssuer
1356947345MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201231001222 VA Practitioner - Occupational Therapist in Private Practice 9436561578 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T01159MDMDOccupational Therapist
0119007971VAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
7 Senses Therapy Center, Inc. CurrentSince Nov 25, 2020 Accepting new patients

Locations

520 Lew Dewitt Blvd
Ste 201
Waynesboro, VA 22980
Phone (540) 451-2021

105 Lew Dewitt Blvd
Ste A
Waynesboro, VA 22980
Phone (434) 242-3109

540 Lew Dewitt Blvd
Ste 4
Waynesboro, VA 22980
Phone (540) 448-0014

Organizations & group practices 1

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": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1730619933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 LEW DEWITT BLVD STE 201",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229801644",
            "telephone_number": "540-451-2021",
            "fax_number": "540-451-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 LEW DEWITT BLVD STE 201",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229801644",
            "telephone_number": "540-451-2021",
            "fax_number": "540-451-7008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 Lew DeWitt Blvd",
            "address_2": "Suite 4",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "VA",
            "postal_code": "22980",
            "country_code": "US",
            "telephone_number": "540-451-2021",
            "fax_number": "540-451-7008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEINECK",
        "first_name": "KATHERINE",
        "middle_name": "ANN HOWE",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "T01159",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119007971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356947345",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.