Healthcare Provider Details

I. General information

NPI: 1225179336
Provider Name (Legal Business Name): HEATHER KNOEFERL B.S., OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 S UNIVERSITY DR DEPT TERRY
FT LAUDERDALE FL
33328-2004
US

IV. Provider business mailing address

437 GOLDEN ISLES DR APT 14H
HALLANDALE BEACH FL
33009-7558
US

V. Phone/Fax

Practice location:
  • Phone: 954-262-1233
  • Fax:
Mailing address:
  • Phone: 913-972-4557
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number1702344
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: