Active NPI
Heather Forrest, LPTA, OTR/L
- Occupational Therapist
- North Wilkesboro, NC
National Provider Identifier
1770944886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 8609
- Practice address
- 204 Old Brickyard Rd
North Wilkesboro, NC 28659-8971 - Phone
- (336) 667-3986
- NPI assigned
- Mar 16, 2016
- Last updated
- Aug 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8609 | NC | MD | Dentist |
| A3464 | NC | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Prime Physical Therapy | Current | 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.
-
- Physical Medicine & Rehabilitation Physician
- North Wilkesboro, NC
- NPI 1902392418
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
- Jeremiah James Faw, DDS
- Dennis L Ferguson, PHARM.D.
- Martha Lemly Firebaugh, PHARM.D.
- Dorothy Lunette Floyd, M.D.
- Foothills Center for Women, P.a.
- Jeffrey Forsyth, PA-C
- Melody O. Foster, REGISTERED NURSE
- Foundation Strong, LLC-Phase II
- Meredith Melissa France, PA-C
- Francesca D Spencer MD Estate (Appalachian Cardiology)
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.