Active NPI
Beth Heindel, OTR/L
- Occupational Therapist
- Medina, OH
National Provider Identifier
1831648062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT007761
- Practice address
- 1046 N Jefferson St
Medina, OH 44256-1102 - Phone
- (330) 723-4530
- Fax
- (330) 723-8920
- NPI assigned
- Sep 29, 2016
- 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 | OT007761 | OH | Primary |
Addresses
Primary practice location
1046 N Jefferson St
Medina, OH 44256-1102
Mailing address
5000 Rockside Rd
Ste 500
Independence, OH 44131-2178
Phone (216) 459-2846
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT007761 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478476800000",
"number": "1831648062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 ROCKSIDE RD",
"address_2": "STE 500",
"city": "INDEPENDENCE",
"state": "OH",
"postal_code": "441312178",
"telephone_number": "216-459-2846",
"fax_number": "216-901-2803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1046 N JEFFERSON ST",
"city": "MEDINA",
"state": "OH",
"postal_code": "442561102",
"telephone_number": "330-723-4530",
"fax_number": "330-723-8920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINDEL",
"first_name": "BETH",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-29",
"last_updated": "2016-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT007761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.