Individual provider Active NPI

Heather Forrest, LPTA, OTR/L

  • Occupational Therapist
  • North Wilkesboro, NC
National Provider Identifier
1770944886
Registry record updated Aug 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
8609 Issued in NC
Practice address
204 Old Brickyard Rd
North Wilkesboro, NC 28659-8971
Phone
(336) 667-3986
NPI assigned
Mar 16, 2016
Last updated
Aug 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A3464 NC
Occupational Therapist 225X00000X 8609 NC Primary

Addresses

Primary practice location

204 Old Brickyard Rd
North Wilkesboro, NC 28659-8971

Mailing address

204 Old Brickyard Rd
North Wilkesboro, NC 28659-8971
Phone (336) 667-3986

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181214000634 NC Practitioner - Occupational Therapist in Private Practice 6305181611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Prime Physical TherapyGroup PAC ID 7214272525, 7 clinicians

Practice addresses (Care Compare)

200 W Park Cir
Suite a
North Wilkesboro, NC 28659-3583
Phone (336) 818-2700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8609NCMDDentist
A3464NCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Prime Physical Therapy CurrentSince Jun 28, 2018 Accepting new patients

Locations

200 W Park Cir
Ste A
North Wilkesboro, NC 28659
Phone (336) 818-2700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692489600000",
    "number": "1770944886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 OLD BRICKYARD RD",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286598971",
            "telephone_number": "336-667-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 OLD BRICKYARD RD",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286598971",
            "telephone_number": "336-667-3986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORREST",
        "first_name": "HEATHER",
        "credential": "LPTA, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-16",
        "last_updated": "2023-08-20",
        "certification_date": "2023-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A3464",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "8609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wilkesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.