Individual provider Active NPI

Heidi Panther

  • Occupational Therapist
  • Gaithersburg, MD
National Provider Identifier
1942955463
Registry record updated Nov 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
10390 Issued in MD
Practice address
362 Christopher Ave Ste a
Gaithersburg, MD 20879-3613
Phone
(240) 410-3209
NPI assigned
Feb 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 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 026346 NY
Occupational Therapist 225X00000X 10390 MD Primary

Addresses

Primary practice location

362 Christopher Ave Ste a
Gaithersburg, MD 20879-3613

Mailing address

7802 Marker Rd
Middletown, MD 21769-8229
Phone (240) 626-3577

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

LicenseStateTypeSpecialty
10390MDMDClinical Social Worker
026436NYMDDentist
026346NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coconut & Palm Pediatrics CurrentSince Nov 24, 2024 Accepting new patients

Locations

362 Christopher Ave
Ste A
Gaithersburg, MD 20879
Phone (240) 410-3209

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731801600000",
    "number": "1942955463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7802 MARKER RD",
            "city": "MIDDLETOWN",
            "state": "MD",
            "postal_code": "217698229",
            "telephone_number": "240-626-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 CHRISTOPHER AVE STE A",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793613",
            "telephone_number": "240-410-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTHER",
        "first_name": "HEIDI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2024-11-17",
        "certification_date": "2024-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "026346",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "10390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2024; 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.