Active NPI
Marissa Heilshorn, OTD, OTR/L
- Occupational Therapist
- Columbus, OH
National Provider Identifier
1740876259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT010694
- Practice address
- 1350 Alum Creek Dr
Columbus, OH 43209-2705 - Phone
- (614) 262-7520
- NPI assigned
- Dec 18, 2020
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | |||
| Private Vehicle | 347C00000X | |||
| Personal Care Attendant | 3747P1801X | |||
| Occupational Therapist | 225X00000X | OT010694 | OH | Primary |
| Homemaker | 376J00000X | |||
| Respite Care Camp | 385HR2050X |
Addresses
Primary practice location
1350 Alum Creek Dr
Columbus, OH 43209-2705
Mailing address
1350 Alum Creek Dr
Columbus, OH 43209-2705
Phone (614) 262-7520
Other practice location 1
2816 Quarry Pt
Columbus, OH 43204-3892
Phone (614) 517-4017
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0133235 | Medicaid | OH |
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 |
|---|---|---|---|
| OT010694 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1740876259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 ALUM CREEK DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432092705",
"telephone_number": "614-262-7520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 ALUM CREEK DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432092705",
"telephone_number": "614-262-7520"
}
],
"practiceLocations": [
{
"address_1": "2816 Quarry Pt",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432043892",
"country_code": "US",
"telephone_number": "614-517-4017",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEILSHORN",
"first_name": "MARISSA",
"credential": "OTD, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-18",
"last_updated": "2022-08-10",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT010694",
"primary": true
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2050X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care Camp",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0133235",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.