Active NPI
Heather Diane Ingenito, OTR
- Occupational Therapist
- Yorktown, IN
National Provider Identifier
1801949946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31000546A
- Practice address
- 13321 W State Road 32
Yorktown, IN 47396-9722 - Phone
- (765) 378-5760
- Fax
- (765) 378-5768
- NPI assigned
- Jan 20, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31000546A | IN | Primary |
Addresses
Primary practice location
13321 W State Road 32
Yorktown, IN 47396-9722
Mailing address
13321 W State Road 32
Yorktown, IN 47396-9722
Phone (765) 378-5760
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
| License | State | Type | Specialty |
|---|---|---|---|
| 31000546A | IN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801949946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13321 W STATE ROAD 32",
"city": "YORKTOWN",
"state": "IN",
"postal_code": "473969722",
"telephone_number": "765-378-5760",
"fax_number": "765-378-5768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13321 W STATE ROAD 32",
"city": "YORKTOWN",
"state": "IN",
"postal_code": "473969722",
"telephone_number": "765-378-5760",
"fax_number": "765-378-5768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGENITO",
"first_name": "HEATHER",
"middle_name": "DIANE",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31000546A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yorktown, IN
- Healthcare Centers of Indiana, LLC (the Waters Of Yorktown)
- Henry County Memorial Hospital (The Waters of Yorktown)
- Kristen Hiatt, MA CCC-SLP
- Indiana University Health Ball Memorial Hospital Inc (IU Health Yorktown Pharmacy)
- Indiana University Health Ball Memorial Physicians, Inc. (IU Health Ball Memorial Physicians)
- Lisa Michelle Kattner, MSW, LMHC
- Katherine Ann Keller
- Emily Jo Kiser, AU.D.
- Jessie Lee Kizer
- Tammy L Leazier, COTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.