Mary C. Healy

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

0720000071 Issued in VT

Legal business name

MARY C. HEALY

Doing business as

Therapeutic Dimensions

Practice address

57 US RT 4
Hartland, VT 05048

Phone

(802) 457-4487

Fax

(802) 457-9428

NPI assigned

Aug 6, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Mary Cathleen Healy, OTR/L, BCP

Title

Owner

Phone

(802) 457-4487

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Therapeutic Dimensions Doing business as

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1902097801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36",
            "city": "TAFTSVILLE",
            "state": "VT",
            "postal_code": "050730036",
            "telephone_number": "802-457-4487",
            "fax_number": "802-457-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 US RT 4",
            "city": "HARTLAND",
            "state": "VT",
            "postal_code": "05048",
            "telephone_number": "802-457-4487",
            "fax_number": "802-457-9428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY C. HEALY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "HEALY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "CATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-457-4487",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L, BCP"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "VT",
            "license": "0720000071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VT BLUECROSSBLUESHIELD",
            "identifier": "OTSE00019121",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapeutic Dimensions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Marguerite Goulding
• Christine Ruth Knippenberg, OTR
• Isabella Leister
• Jill Lorenz
• Mark Mamuszka
• Corinne Singer, L.AC.
• Richard Weatherby, N.D.
• Maureen Ann Williams, ND

• Pediatric Occupational Therapist in Hartland, VT
• Providers in Hartland, VT by specialty
• Pediatric Occupational Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.