MEDICARE: DAWN HEIDERSCHEIDT OT

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	OC013570	PA

General Provider Information

NPI Number	:	1629687546
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAWN HEIDERSCHEIDT OT

Provider Business Mailing Address
First Line	:	7421 KEIFFER ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19128-1415
Country	:	US
Telephone Number	:	610-416-3628
Fax Number	:

Provider Business Practice Location Address
First Line	:	7421 KEIFFER ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19128-1415
Country	:	US
Telephone Number	:	610-416-3628
Fax Number	:

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

Provider Enumeration Date	:	07/27/2020
Last Update Date	:	07/27/2020

Similar Medicare Providers

1356950273 — AURORA INDEPENDENCE
Practice Location Address:

7421 KEIFFER ST
PHILADELPHIA, PA
19128-1415

Practice Phone: 610-416-3628
Practice Fax:

1114907334 — DR. DELIA CHRISTINA MELTONTATE MD
Practice Location Address:

1415 NORTH BROAD STREET, SUITE 224 , BROAD STREET HEALTH CENTER
PHILADELPHIA, PA
19122-3323

Practice Phone: 215-235-7944
Practice Fax: 215-235-3361

1457318768 — VICTORIA FERGUSON CNM
Practice Location Address:

1415 NORTH BROAD STREET , SUITE 224 BROAD STREET HEALTH CENTER
PHILADELPHIA, PA
19122-3323

Practice Phone: 215-235-7944
Practice Fax: 215-235-3361

1871544494 — GEOFFREY W. TEMPLE FAMILY MEDICAL ASSOCIATES, P.C.
Practice Location Address:

2835 TYSON AVE
PHILADELPHIA, PA
19149-1415

Practice Phone: 215-624-6162
Practice Fax: 215-624-2496

1982657987 — ASOCIACION PUERTORRIQUENOS EN MARCHA
Practice Location Address:

2147 N 6TH ST
PHILADELPHIA, PA
19122-1415

Practice Phone: 215-235-7555
Practice Fax: 215-769-7025

1124072178 — JEAN KOZEMPEL PT
Practice Location Address:

2835 TYSON AVE
PHILADELPHIA, PA
19149-1415

Practice Phone: 215-624-1080
Practice Fax:

Directions to “ DAWN HEIDERSCHEIDT OT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.