Individual provider Active NPI

Heidi Sue Knapton, COTA

  • Occupational Therapy Assistant
  • Mount Horeb, WI
National Provider Identifier
1851450399
Registry record updated May 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
346-027 Issued in WI
Practice address
407 N 8TH St
Mount Horeb, WI 53572-1872
Phone
(608) 437-5511
Fax
(608) 437-9603
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 346-027 WI Primary

Addresses

Primary practice location

407 N 8TH St
Mount Horeb, WI 53572-1872

Mailing address

205 Scenic Cir
Marshall, WI 53559-9323
Phone (608) 655-4658

Other identifiers 1

IdentifierTypeStateIssuer
40903300MedicaidWI

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

LicenseStateTypeSpecialty
346-027WIMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369958400000",
    "number": "1851450399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SCENIC CIR",
            "city": "MARSHALL",
            "state": "WI",
            "postal_code": "535599323",
            "telephone_number": "608-655-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N 8TH ST",
            "city": "MOUNT HOREB",
            "state": "WI",
            "postal_code": "535721872",
            "telephone_number": "608-437-5511",
            "fax_number": "608-437-9603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAPTON",
        "first_name": "HEIDI",
        "middle_name": "SUE",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2013-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "346-027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40903300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Horeb, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.