MEDICARE: MS. JORDAN HECKLER MS OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XP0200X	Pediatric Occupational Therapist	OC017341	PA

General Provider Information

NPI Number	:	1245821164
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JORDAN HECKLER MS OTR/L

Provider Business Mailing Address
First Line	:	1209 TELEGRAPH RD
Second Line	:
City	:	PERKASIE
State	:	PA
Zip	:	18944-2443
Country	:	US
Telephone Number	:	267-261-7374
Fax Number	:

Provider Business Practice Location Address
First Line	:	5425 LANARK RD
Second Line	:
City	:	CENTER VALLEY
State	:	PA
Zip	:	18034-8697
Country	:	US
Telephone Number	:	484-822-6111
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2021
Last Update Date	:	03/15/2026

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