Active NPI
Amy Heitman, OTR
- Pediatric Occupational Therapist
- Honolulu, HI
National Provider Identifier
1861811903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 1345
- Practice address
- 725 Kapiolani Blvd
Suite C-103
Honolulu, HI 96813-6012 - Phone
- (808) 596-4650
- NPI assigned
- Apr 15, 2014
- Last updated
- Apr 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 1345 | HI | Primary |
Addresses
Primary practice location
725 Kapiolani Blvd
Suite C-103
Honolulu, HI 96813-6012
Mailing address
3721 Elm Dr
Pearl City, HI 96782-3984
Phone (540) 550-1702
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1345 | HI | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397520000000",
"number": "1861811903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3721 ELM DR",
"city": "PEARL CITY",
"state": "HI",
"postal_code": "967823984",
"telephone_number": "540-550-1702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 KAPIOLANI BLVD",
"address_2": "SUITE C-103",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968136012",
"telephone_number": "808-596-4650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEITMAN",
"first_name": "AMY",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-15",
"last_updated": "2014-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "HI",
"license": "1345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.