Individual provider Active NPI

Heidi Jane Girsch, OTR/L

  • Occupational Therapist
  • Bloomington, MN
National Provider Identifier
1790959153
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
101680 Issued in MN
Practice address
6221 W 98TH St
Bloomington, MN 55438-1729
Phone
(952) 835-5111
Fax
(952) 921-3272
NPI assigned
Apr 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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 101680 MN Primary

Addresses

Primary practice location

6221 W 98TH St
Bloomington, MN 55438-1729

Mailing address

6221 W 98TH St
Bloomington, MN 55438-1729
Phone (952) 835-5111

Other names 1

  • Mrs. Heidi Jane Costigan Former name

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
101680MNMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1790959153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 W 98TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554381729",
            "telephone_number": "952-835-5111",
            "fax_number": "952-921-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 W 98TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554381729",
            "telephone_number": "952-835-5111",
            "fax_number": "952-921-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRSCH",
        "first_name": "HEIDI",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "101680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "COSTIGAN",
            "middle_name": "JANE",
            "prefix": "MRS.",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.