Holi Susan Heffron, OTR/L WCC CMLDT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC005274L Issued in PA

Practice address

115 Gateway Shopping Ctr
Edwardsville, PA 18704-4403

Phone

(570) 938-4634

Fax

(570) 763-4374

NPI assigned

Oct 25, 2006

Last updated

Nov 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hodi Lymphatic Center LLCGroup PAC ID 3072930247, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hodi Lymphatic Center LLC

  • Occupational Therapist
  • Edwardsville, PA
  • NPI 1508477084
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1871678391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 CURRY HILL",
            "city": "PLYMOUTH",
            "state": "PA",
            "postal_code": "18651",
            "telephone_number": "570-239-8800",
            "fax_number": "570-779-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 GATEWAY SHOPPING CTR",
            "city": "EDWARDSVILLE",
            "state": "PA",
            "postal_code": "187044403",
            "telephone_number": "570-938-4634",
            "fax_number": "570-763-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFFRON",
        "first_name": "HOLI",
        "middle_name": "SUSAN",
        "credential": "OTR/L WCC CMLDT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC005274L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin B Fried, MD
• Marisa Alice Fronczkiewicz, B.S.
• Janelle Gaiteri
• Gastroenterology Consultants Inc
• Gateway Surgery Center LLC
• Hi-Tech Dental Arts
• Hodi Lymphatic Center LLC
• Jae LLC (The Happy Mama Place)
• John Turosky Chiropractic PC
• Katryn Keefer, PA-C

• Occupational Therapist in Edwardsville, PA
• Providers in Edwardsville, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.