Active NPI
Heard Innovative Pediatric Therapy, PLLC
- Pediatric Occupational Therapist
- Phoenix, AZ
National Provider Identifier
1780853598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 3331
- Legal business name
- HEARD INNOVATIVE PEDIATRIC THERAPY, PLLC
- Practice address
- 4700 E Thomas Rd
Suite 100
Phoenix, AZ 85018-7700 - Phone
- (602) 595-6683
- Fax
- (866) 659-7750
- NPI assigned
- Feb 26, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Angela Michelle Heard, OTR/L
- Title
- Licensed Occupational Therapist
- Phone
- (480) 241-7152
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 3331 | AZ | Primary |
Addresses
Primary practice location
4700 E Thomas Rd
Suite 100
Phoenix, AZ 85018-7700
Mailing address
4700 E Thomas Rd
Suite 100
Phoenix, AZ 85018-7700
Phone (602) 595-6683
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578699146 | Other | AZ | NPI |
| 080176 | Other | AZ | AHCCCS |
Other names 1
- None
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203984000000",
"number": "1780853598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 E THOMAS RD",
"address_2": "SUITE 100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850187700",
"telephone_number": "602-595-6683",
"fax_number": "866-659-7750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 E THOMAS RD",
"address_2": "SUITE 100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850187700",
"telephone_number": "602-595-6683",
"fax_number": "866-659-7750"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARD INNOVATIVE PEDIATRIC THERAPY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-26",
"last_updated": "2008-02-26",
"status": "A",
"authorized_official_last_name": "HEARD",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "LICENSED OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "480-241-7152",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": "AZ",
"license": "3331",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1578699146",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "080176",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "None",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.