Individual provider Active NPI

Heather Beth Dreyer, M.A.

  • Pediatric Occupational Therapist
  • Laguna Hills, CA
National Provider Identifier
1851602668
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT 3618 Issued in CA
Practice address
26081 Merit Cir Ste 107
Laguna Hills, CA 92653-7017
Phone
(949) 367-0310
NPI assigned
Jun 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 3618 CA
Pediatric Occupational Therapist 225XP0200X OT 3618 CA Primary

Addresses

Primary practice location

26081 Merit Cir Ste 107
Laguna Hills, CA 92653-7017

Mailing address

25 Feldspar Way
Rancho Santa Margarita, CA 92688-3518
Phone (949) 584-1603

Other names 1

  • Heather Beth Jetzer Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241011002218 CA Practitioner - Occupational Therapist in Private Practice 2961934203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One Choice Physical Therapy IncGroup PAC ID 2567720402, 8 clinicians

Practice addresses (Care Compare)

Rancho Santa Margarita, CA 92688
Phone (949) 584-1603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3618CAMDOccupational Therapist
OT 3618CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
One Choice Physical Therapy Inc. CurrentSince Oct 1, 2024 Accepting new patients
Beach Kids Therapy Center, Inc. Pediatrics 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.

NPI Registry JSON

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1851602668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 FELDSPAR WAY",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883518",
            "telephone_number": "949-584-1603",
            "fax_number": "949-610-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26081 MERIT CIR STE 107",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537017",
            "telephone_number": "949-367-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREYER",
        "first_name": "HEATHER",
        "middle_name": "BETH",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-25",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "3618",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "OT 3618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "JETZER",
            "middle_name": "BETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.