Home and Community Recreation Therapy

Primary specialty

Recreation TherapistTaxonomy code 225800000X

Legal business name

HOME AND COMMUNITY RECREATION THERAPY

Practice address

1810 Timber TRL
Ann Arbor, MI 48103-2392

Phone

(734) 355-3899

NPI assigned

Oct 22, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Diane Penny Wagner-Heffner, MA, CTRSNPI 1760630149

Title

Owner

Phone

(734) 355-3899

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diane Penny Wagner-Heffner, MA

  • Case Manager/Care Coordinator
  • Ann Arbor, MI
  • NPI 1760630149
  NPD (past) Authorized official

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1992058424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 TIMBER TRAIL",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48103",
            "telephone_number": "734-355-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 TIMBER TRL",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032392",
            "telephone_number": "734-355-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME AND COMMUNITY RECREATION THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "WAGNER-HEFFNER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "PENNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-355-3899",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, CTRS"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jared Homayouni, DO
• Carol Homco, OTR/L
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• Kimberly Lyn Honan, CRNA
• Aubree Honcoop, MD/PHD

• Recreation Therapist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Recreation Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.