MEDICARE: HEIDI PFEIFLE M.S., 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	225X00000X	Occupational Therapist	7689	CA

General Provider Information

NPI Number	:	1316887052
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEIDI PFEIFLE M.S., OTR/L

Provider Business Mailing Address
First Line	:	PO BOX 371
Second Line	:
City	:	ANGWIN
State	:	CA
Zip	:	94508-0371
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1511 MYRTLE AVE
Second Line	:
City	:	NAPA
State	:	CA
Zip	:	94558-4768
Country	:	US
Telephone Number	:	707-260-9415
Fax Number	:

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

Provider Enumeration Date	:	03/31/2026
Last Update Date	:	03/31/2026

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