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Taylor Nicole Heitmann, OTR/L

Occupational Therapist, Pediatrics in Mohegan Lake, NY. Individual provider (NPI-1).

NPI number1437643129
StatusActive
Last updated in NPPESJan 31, 2022

Details

NPI
1437643129
Entity type
Individual (NPI-1)
Name
Taylor Nicole Heitmann
Credential
OTR/L
Sex
Female
Sole proprietor
No
Enumeration date
Jun 18, 2018
Certification date
Jan 31, 2022
Last updated
Jan 31, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225XP0200X Occupational Therapist, Pediatrics025271NYYes
106S00000X Behavior Technician–MA

Practice location

3151 Stony St
Mohegan Lake, NY 10547-1913

Phone 914-885-1995

Mailing address

3151 Stony St
Mohegan Lake, NY 10547-1913

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