Organization Active NPI

Heard Innovative Pediatric Therapy, PLLC

  • Pediatric Occupational Therapist
  • Phoenix, AZ
National Provider Identifier
1780853598
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
3331 Issued in AZ
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

Updated by the provider on Feb 26, 2008

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)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1578699146OtherAZNPI
080176OtherAZAHCCCS

Other names 1

  • None Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.