MARCIA HEINEMAN (NPI# 1700194255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700194255 |
| Entity Type | Individual |
| Full Name | MARCIA HEINEMAN |
| Credential | OT |
| Practice Address |
1617 Park Place Ave #110 Fort Worth TX 76110-1300 |
| Practice Telephone | 8179215020 |
| Practice Fax Number | 8179215022 |
| Mailing Telephone | 8179215020 |
| Mailing Fax Number | 8179215022 |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2010-09-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 113544 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 149984001 | 05 | |
| TX | 207164901 | 05 |
| Street Address |
1617 PARK PLACE AVE #110 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76110-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114272531 | Vanessa Ann Saenz | Speech-Language Pathologist | 1617 Park Place Ave, Suite 110, Fort Worth, TX 76110-1300 | 2012-07-23 |
| 1528323110 | Diana Isabel Sawyer | Speech-Language Pathologist | 1617 Park Place Ave, Suite 110, Fort Worth, TX 76110-1300 | 2012-07-10 |
| 1326301961 | Donna Marie Nieswiadomy | Speech-Language Pathologist | 1617 Park Place Ave, Suite 110, Fort Worth, TX 76110-1300 | 2012-06-19 |
| 1558667931 | Kylie D Pope | Specialist/Technologist | 1617 Park Place Ave, Suite 110, Fort Worth, TX 76110-1300 | 2011-02-02 |
| 1891090700 | Kelsea F Ciavaglia | Specialist/Technologist | 1617 Park Place Ave, Suite 110, Fort Worth, TX 76110-1300 | 2011-01-24 |
| 1790085090 | Diana Garcia | Speech-Language Pathologist | 1617 Park Place Ave, #110, Fort Worth, TX 76110-1300 | 2010-11-02 |
| 1932417565 | Heather Brooke Starr | Physical Therapy Assistant | 1617 Park Place Ave, #110, Fort Worth, TX 76110-1300 | 2010-09-16 |
| 1497062277 | Jennie Gentry | Occupational Therapist | 1617 Park Place Ave, Suite 110, Fort Worth, TX 76110-1300 | 2010-09-01 |
| 1396056289 | Tammy Ray | Occupational Therapy Assistant | 1617 Park Place Ave, # 110, Fort Worth, TX 76110-1300 | 2010-06-25 |
| 1265768543 | Christine E Strong | Specialist/Technologist | 1617 Park Place Ave, #110, Fort Worth, TX 76110-1300 | 2009-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992177240 | Sarah Jones Midwifery | Midwife | 2260 5th Ave, Fort Worth, TX 76110 | 2015-10-27 |
| 1427371814 | Cenikor Foundation | Community/Behavioral Health | 2209 South Main Street, Fort Worth, TX 76110 | 2010-03-12 |
| 1225282320 | Ktv Dental, Pa | Dentist | 2717 8th Ave., Fort Worth, TX 76110 | 2008-11-17 |
| 1821291014 | Michael J Davis | Dentist | 1818 8th Avenue, Fort Worth, TX 76110 | 2007-06-06 |
| 1669513347 | Latoya Cherrell Carter | Counselor | 1814 8th Ave # B201, Fort Worth, TX 76110 | 2007-02-08 |
| 1659446771 | Christina Pey-ru Chou | Marriage & Family Therapist | 1616 Park Place Ave., Fort Worth, TX 76110 | 2006-11-22 |
| 1750461364 | Zera Inc | Home Health | 1050 Forest Park Blvd, Fort Worth, TX 76110 | 2006-10-17 |
| 1144300914 | Tai Anh Huynh | Optometrist | 1405 West Berry St, Fort Worth, TX 76110 | 2006-10-16 |
| 1871510784 | Robert T Keller Md & Assco Pa | Internal Medicine | 2751 Greenoaks Rd, Fort Worth, TX 76110 | 2006-07-16 |
| 1114906633 | The Womens Center of Tarrant County Inc | Clinic/Center | 1723 Hemphill, Fort Worth, TX 76110 | 2006-01-12 |
| Find all providers in zip 76110 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518577469 | Lisa Michelle Holloway | Occupational Therapist | 9328 Wood Duck Dr, Fort Worth, TX 76118-7784 | 2020-08-05 |
| 1699384032 | Megan Lindgren | Occupational Therapist | 4426 Sea Tac Dr Apt 7307, Fort Worth, TX 76155-3029 | 2020-07-30 |
| 1578192746 | Jaimee D Perea | Occupational Therapist | 250 Bens Trl, Fort Worth, TX 76120-7000 | 2020-04-08 |
| 1750922258 | Lakin Vaughn | Occupational Therapist | 6940 Harris Pkwy, Fort Worth, TX 76132-4253 | 2019-10-05 |
| 1184286007 | Lisa Widmer | Occupational Therapist | 6530 Hawks Creek Ct, Fort Worth, TX 76114-1163 | 2019-07-01 |
| 1417518648 | Kristina Lahti | Occupational Therapist | 4775 North Fwy, Fort Worth, TX 76106-2315 | 2019-06-27 |
| 1548729981 | Ahmyl-mai Jaber | Occupational Therapist | 5912 Valley Haven Way, Fort Worth, TX 76244-5145 | 2019-03-15 |
| 1992273965 | Debra Cooper Lantz | Occupational Therapist | 4252 Bryant Irvin Road, Fort Worth, TX 76109 | 2018-11-08 |
| 1518447531 | Tracie Ann Marquez | Occupational Therapist | 5632 Old Orchard Dr, Fort Worth, TX 76123-5009 | 2018-08-20 |
| 1215417746 | Emily Baker | Occupational Therapist | 900 Matisse Dr Apt 3046, Fort Worth, TX 76107-2481 | 2018-08-14 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76110 |
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| 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.