Individual provider Active NPI

Heather Humann, OTR/L

  • Occupational Therapist
  • Fresno, CA
National Provider Identifier
1760840854
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 9573 Issued in CA
Practice address
2505 W Shaw Ave
Building a
Fresno, CA 93711-3334
Phone
(559) 228-9100
Fax
(559) 228-9200
NPI assigned
Feb 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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 OT 9573 CA Primary

Addresses

Primary practice location

2505 W Shaw Ave
Building a
Fresno, CA 93711-3334

Mailing address

2505 W Shaw Ave
Building a
Fresno, CA 93711-3334
Phone (559) 228-9100

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
OT 9573CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hardy and Lukes Physical Therapy, Inc. Past Accepting new patients

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": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1760840854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 W SHAW AVE",
            "address_2": "BUILDING A",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113334",
            "telephone_number": "559-228-9100",
            "fax_number": "559-228-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 W SHAW AVE",
            "address_2": "BUILDING A",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113334",
            "telephone_number": "559-228-9100",
            "fax_number": "559-228-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMANN",
        "first_name": "HEATHER",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-03",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT 9573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.