Individual provider Active NPI

Andrew Heitner, MS OTR/L

  • Occupational Therapist
  • Dix Hills, NY
National Provider Identifier
1902325566
Registry record updated Sep 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
4 Foxridge Cir
Dix Hills, NY 11746-7802
Phone
(631) 786-8352
Fax
(631) 786-8352
NPI assigned
Sep 14, 2017
Last updated
Sep 14, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

4 Foxridge Cir
Dix Hills, NY 11746-7802

Mailing address

4 Foxridge Cir
Dix Hills, NY 11746-7802
Phone (631) 786-8352

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
015924NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Patriot Family Medical Associates PLLC CurrentSince Jul 10, 2023 Accepting new patients

Locations

85 Roosevelt Ave
Valley Stream, NY 11581
Phone (516) 791-9500

Organizations & group practices 1

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": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505347200000",
    "number": "1902325566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 FOXRIDGE CIR",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117467802",
            "telephone_number": "631-786-8352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 FOXRIDGE CIR",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117467802",
            "telephone_number": "631-786-8352",
            "fax_number": "631-786-8352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEITNER",
        "first_name": "ANDREW",
        "credential": "MS OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-14",
        "last_updated": "2017-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dix Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2017; 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.