Rose Mary Heacock-Smith, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

074004 Issued in IA

Practice address

8000 Douglas Ave
Urbandale, IA 50322

Phone

(515) 251-3700

NPI assigned

Jun 10, 2013

Last updated

Aug 13, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Rose Mary Heacock Former name

Medicare fee-for-service enrollment

Enrolled in GA, IA2 enrollments

Enrollment records 2

Specialty

Occupational Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hometown Physical Therapy Holding Company LLCGroup PAC ID 7214170893, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.32 of 100Reported as group

Quality

84.44

Promoting interoperability

99

Improvement activities

40

Cost

70.78

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hometown Physical Therapy Holding Company LLC

  dba OkobojiPhysicalTherapy,SpencerPhysicalTherapy,EastVillagePhysicalThera

  • Physical Therapist
  • Milford, IA
  • NPI 1861836454

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Athletico LTD

  dba Athletico Physical Therapy

  • Physical Therapist
  • Oak Brook, IL
  • NPI 1821085028

  IA, Occupational Therapist

  Medicare reassignment NPD
• Benchmark Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Duluth, GA
  • NPI 1083666903
  Medicare reassignment NPD
• Independent Physical Therapy of Georgia, LLC

  dba BenchMark Physical Therapy

  • Physical Therapist
  • Fort Oglethorpe, GA
  • NPI 1780636068

  Occupational Therapist

  Medicare reassignment NPD
• Hometown Physical Therapy Holding Company LLC

  dba East Village Physical Therapy

  • Physical Therapist
  • Des Moines, IA
  • NPI 1952283947

  Occupational Therapist

  NPD
• Athletico LTD

  dba Athletico Physical Therapy

  • Clinic/Center
  • Lafayette, IN
  • NPI 1053044867

  Occupational Therapist

  NPD
• Benchmark Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Conyers, GA
  • NPI 1184924854
  NPD
• Independent Physical Therapy of Georgia, LLC

  dba Benchmark PT

  • Occupational Therapist
  • Gainesville, GA
  • NPI 1306013941
  NPD
• Independent Physical Therapy of Georgia, LLC

  • Physical Therapy Clinic/Center
  • Decatur, GA
  • NPI 1477858108
  NPD
• Independent Physical Therapy of Georgia, LLC

  dba Benchmark Physical Therapy

  • Physical Therapist
  • Acworth, GA
  • NPI 1356687859

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1841638061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OAKMONT LN STE 600C",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595548",
            "telephone_number": "630-590-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 DOUGLAS AVE",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "50322",
            "telephone_number": "515-251-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3450 Cobb Pkwy NW",
            "address_2": "STE 220",
            "address_purpose": "LOCATION",
            "city": "Acworth",
            "state": "GA",
            "postal_code": "301018351",
            "country_code": "US",
            "telephone_number": "770-974-1978",
            "fax_number": "770-974-1979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEACOCK-SMITH",
        "first_name": "ROSE",
        "middle_name": "MARY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-10",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT005553",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "074004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSE",
            "last_name": "HEACOCK",
            "middle_name": "MARY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashley Harvey, LMSW
• Jill Ann Hass, BS
• Dennis Haugland, O.D.
• Mark Alan Havran, DPT
• Hawkeye Health Services, Inc. (CenterWell Home Health)
• Healing Hearts Trauma Therapy PLLC
• Healvine, LLC
• Jay Andrew Heaverlo, DACM
• Hebronis Home LLC
• Aaron Michael Heffernan, DPT, CSCS

• Occupational Therapist in Urbandale, IA
• Providers in Urbandale, IA by specialty
• Occupational Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.