Active NPI
Christy Heise
- Occupational Therapist
- New Martinsville, WV
National Provider Identifier
1982092441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1331
- Practice address
- 225 Russell Ave
New Martinsville, WV 26155-1572 - Phone
- (304) 455-2600
- NPI assigned
- Jan 6, 2015
- Last updated
- Jan 6, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1331 | WV | Primary |
Addresses
Primary practice location
225 Russell Ave
New Martinsville, WV 26155-1572
Mailing address
9 Burling LN
Wellsburg, WV 26070-9545
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1331 | WV | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420502400000",
"number": "1982092441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 BURLING LN",
"city": "WELLSBURG",
"state": "WV",
"postal_code": "260709545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 RUSSELL AVE",
"city": "NEW MARTINSVILLE",
"state": "WV",
"postal_code": "261551572",
"telephone_number": "304-455-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEISE",
"first_name": "CHRISTY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-06",
"last_updated": "2015-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WV",
"license": "1331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Martinsville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.