Healthcare Provider Details

I. General information

NPI: 1588540959
Provider Name (Legal Business Name): ABBEY HEIMBACH OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2025
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 COLUMBIA PIKE APT 125
ARLINGTON VA
22204-4453
US

IV. Provider business mailing address

2001 N ADAMS ST UNIT 230
ARLINGTON VA
22201-3778
US

V. Phone/Fax

Practice location:
  • Phone: 571-701-2191
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number0119011047
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: