Individual provider Active NPI

Margaret Michaelene Heyman-Hotch, MOT, OTR/L

  • Occupational Therapist
  • Haines, AK
National Provider Identifier
1972771798
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1660 Issued in AK
Practice address
69 Beach Road
Haines, AK 99827-0778
Phone
(907) 766-2101
Fax
(907) 766-2104
NPI assigned
Feb 14, 2008
Last updated
Jul 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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 1054340 OR
Occupational Therapist 225X00000X 1660 AK Primary

Addresses

Primary practice location

69 Beach Road
Haines, AK 99827-0778

Mailing address

PO Box 778
Haines, AK 99827-0778
Phone (907) 766-2101

Other practice location 1

2122 Misty Morning Ave, SE
Salem, OR 97306-6901
Phone (503) 391-4621

Other practice location 2

79 Chilkat Ave
Haines, AK 99827-0000
Phone (907) 767-5704

Other identifiers 3

IdentifierTypeStateIssuer
OT1660MedicaidAK
R167353OtherMEDICARE PTAN
500617725MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140702000848 AK Practitioner - Occupational Therapist in Private Practice 7517119811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

69 Beach Rd
Haines, AK 99827-0778
Phone (907) 766-2101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1054340ORMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Four Ravens Occupational Therapy LLC Occupational Therapist CurrentSince Jan 11, 2016 Accepting new patients
Four Ravens Occupational Therapy LLC Occupational Therapist CurrentSince Dec 27, 2016 Accepting new patients

Locations

79 Chilkat Ave
Haines, AK 99827
Phone (907) 314-0808

9109 Mendenhall Mall Rd
Ste 5K
Juneau, AK 99801
Phone (907) 209-8571

Organizations & group practices 2

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": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1972771798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 778",
            "city": "HAINES",
            "state": "AK",
            "postal_code": "998270778",
            "telephone_number": "907-766-2101",
            "fax_number": "907-766-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 BEACH ROAD",
            "city": "HAINES",
            "state": "AK",
            "postal_code": "998270778",
            "telephone_number": "907-766-2101",
            "fax_number": "907-766-2104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2122 Misty Morning Ave, SE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973066901",
            "country_code": "US",
            "telephone_number": "503-391-4621",
            "fax_number": "503-569-6497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "79 Chilkat Ave",
            "address_purpose": "LOCATION",
            "city": "Haines",
            "state": "AK",
            "postal_code": "998270000",
            "country_code": "US",
            "telephone_number": "907-767-5704",
            "fax_number": "907-767-5703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEYMAN-HOTCH",
        "first_name": "MARGARET",
        "middle_name": "MICHAELENE",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-14",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "1054340",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "1660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OT1660",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "R167353",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500617725",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haines, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.