Active NPI
Jennifer Heard, OTR
- Occupational Therapist
- Corsicana, TX
National Provider Identifier
1821392259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 112602
- Practice address
- 3808 NW County Road 0013
Corsicana, TX 75110-0356 - Phone
- (817) 301-9088
- NPI assigned
- Dec 28, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 112602 | TX | Primary |
Addresses
Primary practice location
3808 NW County Road 0013
Corsicana, TX 75110-0356
Mailing address
3808 NW County Road 0013
Corsicana, TX 75110-0356
Phone (817) 301-9088
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112602 | Other | TX | TEXAS BOARD OF OCCUPATIONAL THERAPY EXAMINERS |
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 |
|---|---|---|---|
| 112602 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293494400000",
"number": "1821392259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3808 NW COUNTY ROAD 0013",
"city": "CORSICANA",
"state": "TX",
"postal_code": "751100356",
"telephone_number": "817-301-9088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3808 NW COUNTY ROAD 0013",
"city": "CORSICANA",
"state": "TX",
"postal_code": "751100356",
"telephone_number": "817-301-9088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEARD",
"first_name": "JENNIFER",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-28",
"last_updated": "2010-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "112602",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS BOARD OF OCCUPATIONAL THERAPY EXAMINERS",
"identifier": "112602",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corsicana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.