Active NPI
Heidi Knipple
- Occupational Therapist
- Gravette, AR
National Provider Identifier
1851313324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 05435
- Practice address
- 1101 Jackson St SW
Gravette, AR 72736-9121 - Phone
- (479) 787-5291
- NPI assigned
- Jul 24, 2006
- Last updated
- Jul 21, 2022
- 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 | 05435 | MD | Primary |
Addresses
Primary practice location
1101 Jackson St SW
Gravette, AR 72736-9121
Mailing address
1101 Jackson St SW
Gravette, AR 72736-9121
Phone (479) 787-5291
Other practice location 1
626 Trail Ave
Frederick, MD 21701-4934
Phone (301) 662-1997
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KBC4HO-64320701 | Other | MD | BC/BS |
| S4040015 | Other | MD | CAREFIRST |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Homecare Rehab and Nursing LLC | Occupational Therapist | Past | Accepting new patients |
| Homecare Rehab, LLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Medicine & Rehabilitation Physician
- Frederick, MD
- NPI 1235387762
Occupational Therapist
-
- Speech/Language/Hearing Specialist/Technologist
- Frederick, MD
- NPI 1336254192
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1851313324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 JACKSON ST SW",
"city": "GRAVETTE",
"state": "AR",
"postal_code": "727369121",
"telephone_number": "479-787-5291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 JACKSON ST SW",
"city": "GRAVETTE",
"state": "AR",
"postal_code": "727369121",
"telephone_number": "479-787-5291"
}
],
"practiceLocations": [
{
"address_1": "626 Trail Ave",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217014934",
"country_code": "US",
"telephone_number": "301-662-1997",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KNIPPLE",
"first_name": "HEIDI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "05435",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "KBC4HO-64320701",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "S4040015",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gravette, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.