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1225179336 NPI number — HEATHER KNOEFERL B.S., OTR

NPI Number: 1225179336
Health Care Provider/Practitioner: HEATHER KNOEFERL B.S., OTR

Information about “1225179336” NPI (HEATHER KNOEFERL B.S., OTR) exists in 1225179336 in HTML format HTML  |  1225179336 in plain Text format TXT  |  1225179336 in PDF (Portable Document Format) PDF  |  1225179336 in an XML format XML  formats.

NPI Number : 1225179336 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1225179336",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KNOEFERL",
    "FirstName": "HEATHER",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "B.S., OTR",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "437 GOLDEN ISLES DR APT 14H",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HALLANDALE BEACH",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33009-7558",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "913-972-4557",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3300 S UNIVERSITY DR DEPT TERRY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FT LAUDERDALE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33328-2004",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "954-262-1233",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/09/2007",
    "LastUpdateDate": "08/14/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "225XP0019X",
          "TaxonomyName": "Physical Rehabilitation Occupational Therapist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": "1702344",
          "LicenseNumberStateCode": "KS",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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