Individual provider Active NPI

Russell Heerkens

  • Occupational Therapist
  • Rochester, NY
National Provider Identifier
1851027999
Registry record updated Jul 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
016957 Issued in NY
Practice address
1350 Westfall Rd
Rochester, NY 14618-2790
Phone
(877) 407-3422
Fax
(877) 407-4329
NPI assigned
Jul 30, 2022
Last updated
Jul 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2022

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 016957 NY Primary

Addresses

Primary practice location

1350 Westfall Rd
Rochester, NY 14618-2790

Mailing address

7 Carnegie PLZ
Cherry Hill, NJ 08003-1000
Phone (877) 407-3422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220817000185 NY Practitioner - Occupational Therapist in Private Practice 5799168225 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Goldwyn and Boyland Physical Therapy, PCGroup PAC ID 7113907064, 5 clinicians

Practice addresses (Care Compare)

170 Murray St
Auburn, NY 13021-1335
Phone (718) 627-8100

274 Tompkins St
Cortland, NY 13045-3455
Phone (607) 756-9886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Physical Therapy Services LLC Occupational Therapist CurrentSince Jul 1, 2022 Accepting new patients
Goldwyn & Boyland Physical Therapy PC Occupational Therapist CurrentSince May 1, 2025 Accepting new patients
Achieve Occupational Therapy and Physical Therapy of Brooklyn, PLLC CurrentSince Nov 16, 2025 Accepting new patients
Spruce Occupational and Physical Therapy, PLLC Occupational Therapist CurrentSince Jul 6, 2025 Accepting new patients

Locations

7 Carnegie Plz
Cherry Hill, NJ 08003

170 Murray St
Auburn, NY 13021
Phone (315) 253-2755

2981 Town Center Rd
Baldwinsville, NY 13027
Phone (315) 638-9207

813 Quentin Rd
Ste 106
Brooklyn, NY 11223
Phone (718) 506-9663

1105 State Route 13
Cortland, NY 13045
Phone (607) 756-9886

1415 Richmond Ave
Staten Island, NY 10314
Phone (212) 475-5540

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1659139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659139200000",
    "number": "1851027999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CARNEGIE PLZ",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031000",
            "telephone_number": "877-407-3422",
            "fax_number": "877-407-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 WESTFALL RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182790",
            "telephone_number": "877-407-3422",
            "fax_number": "877-407-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEERKENS",
        "first_name": "RUSSELL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-30",
        "last_updated": "2022-07-30",
        "certification_date": "2022-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "016957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2022; 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.