Active NPIIndividual provider

Heidi L Bristow, OTR/L

Occupational Therapist in Greensboro, North Carolina

NPI Number1215471792
Practice location
3200 Northline Ave Ste 160, Greensboro, NC 27408-7613
Fax
336-545-5020
Last updated
January 11, 2024

Heidi Leticia Bristow is an Occupational Therapist based in Greensboro, NC. Heidi Leticia Bristow practices in Greensboro, NC and has the professional credentials of OTR/L. The NPI Number for Heidi Leticia Bristow is 1215471792 and holds a License No. 8430 (NC). The current practice location address for Heidi Leticia Bristow is 3200 Northline Ave Ste 160, Greensboro, NC 27408-7613 and can be reached out via phone at 336-545-5000 and via fax at 336-545-5020.

Provider Profile Details

NPI Number
1215471792
Provider Name
Heidi Leticia Bristow
Credential
OTR/L
Provider Entity Type
Individual
Gender
Female
Address
3200 Northline Ave Ste 160, Greensboro, NC 27408-7613
Phone Number
336-545-5000
Fax Number
336-545-5020
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Other Names
-- Heidi Beutel, OTR/L (Former Name)
Provider Enumeration Date
December 19, 2016
Last Update Date
January 11, 2024
Certification Date
January 11, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
3200 Northline Ave Ste 160
Greensboro, NC 27408-7613
Zip
27408-7613
Phone Number
336-545-5000
Fax Number
336-545-5020
Greensboro, NC 27408Get directions →

Provider Business Mailing Address Details

Address
Po Box 5105
Belfast, ME 04915-5100
City
Belfast
State
ME
Zip
04915-5100
Phone Number
336-545-5000
Fax Number
336-545-5020

License Information

License Number
8430
License State
NC
Taxonomy
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Heidi L Bristow, OTR/L?

The NPI number of Heidi L Bristow, OTR/L is 1215471792. It was assigned on December 19, 2016 and is currently active in the NPPES registry.

What is the specialty of Heidi L Bristow, OTR/L?

Heidi L Bristow, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NC under license number 8430.

Where does Heidi L Bristow, OTR/L practice?

The practice location is 3200 Northline Ave Ste 160, Greensboro, NC 27408-7613. The office can be reached at 336-545-5000 (phone) or 336-545-5020 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215471792 directly on the NPPES registry website.

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