MRS. SHANNON MARIE HEITMILLER


Address: 1260 N 17th St, Lafayette, IN 47904-2163
Phone: 7654236885

MRS. SHANNON MARIE HEITMILLER (NPI# 1033646807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033646807
Entity Type Individual
Full Name MRS. SHANNON MARIE HEITMILLER
Credential OTR
Practice Address 1260 N 17th St
Lafayette
IN 47904-2163
Practice Telephone 7654236885
Practice Fax Number 7654236099
Mailing Telephone 7654236885
Mailing Fax Number 7654236099
Enumeration Date 2017-05-11
Last Update Date 2017-05-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225XH1200X Occupational Therapist
Specialization: Hand
30012351A IN Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1260 N 17TH ST
City LAFAYETTE
State IN
Zip Code 47904-2163

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396044392 Greater Lafayette Health Services Durable Medical Equipment & Medical Supplies 1260 N 17th St, Lafayette, IN 47904-2163 2011-03-17
1629560040 Elena Ann Robinson Specialist/Technologist 1260 N 17th St, Lafayette, IN 47904 2018-06-01
1225542707 Stephanie Hays Physical Therapist 1260 N 17th St, Lafayette, IN 47904-2163 2017-11-20
1437674363 Abigail Jean Mcclintock Specialist/Technologist 1260 N 17th St, Lafayette, IN 47904-2163 2017-08-11
1417486457 Anne M Wuebker Physical Therapist 1260 N 17th St, Lafayette, IN 47904-2163 2017-06-05
1689103624 Elizabeth Susan Cornell Physical Therapy Assistant 1260 N 17th St, Lafayette, IN 47904-2163 2017-06-05
1740716802 Adam Ewald Occupational Therapist 1260 N 17th St, Lafayette, IN 47904-2163 2017-05-11
1477089522 Angela Marie Polmateer Occupational Therapist 1260 N 17th St, Lafayette, IN 47904-2163 2017-05-11
1073049383 Nichole Schmidt Physical Therapist 1260 N 17th St, Lafayette, IN 47904-2163 2017-05-05
1144756453 Kirsten Zambon Physical Therapist 1260 N 17th St, Lafayette, IN 47904-2163 2017-05-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568998615 Angela Hands Physical Therapy Assistant 1260 North 17th Street, Lafayette, IN 47904 2017-05-11
1366894164 Kathryn Barnett Behavioral Analyst 2785 Cason St # 2, Lafayette, IN 47904 2016-07-06
1881972917 Rest Assured, LLC Durable Medical Equipment & Medical Supplies 180 Professional Ct., Lafayette, IN 47904 2011-07-22
1144514233 Michelle Cristin Singleton Dietitian, Registered 508 N 26th St, Lafayette, IN 47904 2011-06-06
1912134438 Jean D Trammel Marriage & Family Therapist 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 2009-06-11
1902946056 Terry Richard Baker Optometrist 2300 Sagamore Parkway S, Lafayette, IN 47904 2007-02-07
1891862165 Becki A Bowditch Inc Social Worker 2201 Ferry Street, Lafayette, IN 47904 2006-11-29
1326121849 James Lowell Thomas Pediatrics 2300 Ferry St, Lafayette, IN 47904 2006-10-21
1700976719 Michael Leonard Bagnoli Dentist 2020 Union Street, Suite 200, Lafayette, IN 47904 2006-10-13
1255428801 Lynn Arlen Pestle Dentist 2550 Elmwood Avenue, Lafayette, IN 47904 2006-10-06
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Taxonomy Information

Taxonomy Code 225XH1200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist
Specialization Hand

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679877856 Tiffany M Asbury Occupational Therapist 280 Exempla Cir, Lafayette, CO 80026-3370 2011-01-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1720427628 Angela Christine Drury Occupational Therapist 221 Day Road, Mishawaka, IN 46545-1401 2013-06-24
1700169067 Elizabeth Christoffel Occupational Therapist 5510 W. Lincoln Hwy., Schererville, IN 46375 2011-09-23
1891076485 Shirley Kay Drier Occupational Therapist 721 N 13th St, Decatur, IN 46733-1119 2011-09-08
1285646810 Christine M Habas Occupational Therapist 9250 Columbia Ave Ste 1f, Munster, IN 46321-3530 2006-08-12
1215966171 Northwest Indiana Hand & Pt Occupational Therapist 605 Mccord Rd, Valparaiso, IN 46383-3646 2006-07-02
1548242043 Manoj Kumar Occupational Therapist 611 E Douglas Road, Suite 108, Mishawaka, IN 46545 2005-11-18
1043760291 Alan Bunch Occupational Therapist 1185 W Carmel Dr Bldg C, Carmel, IN 46032-8708 2016-10-12
1477856243 Theresa Wiegand-swihart Occupational Therapist 639 S Walker St, Suite E, Bloomington, IN 47403-2123 2010-12-16
1073844072 Todd E Meller Occupational Therapist 201 Pennsylvania Pkwy, Ste 100, Indianapolis, IN 46280-1393 2010-01-15
1346413697 Jennifer Lynn Christie Occupational Therapist 1992 E Stop 13 Rd, Indianapolis, IN 46227-6267 2008-04-08
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Competitor

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City LAFAYETTE
Zip Code 47904

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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