| Ms Caitlyn Heavner, OTR/L | |
|
11046 New Georges Creek Rd Sw, Frostburg, MD 21532-1448 | |
| (240) 284-2600 | |
| Not Available |
| Full Name | Ms Caitlyn Heavner |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 11046 New Georges Creek Rd Sw, Frostburg, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306651674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 10457 (Maryland) | Primary |
| 225X00000X | Occupational Therapist | 2536 (West Virginia) | Secondary |
| Provider Name | X-cel Performance Rehab Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1891168381 PECOS PAC ID: 6608173877 Enrollment ID: O20160404000561 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Caitlyn Heavner, OTR/L 11046 New Georges Creek Rd Sw, Frostburg, MD 21532-1448 Ph: (240) 284-2600 | Ms Caitlyn Heavner, OTR/L 11046 New Georges Creek Rd Sw, Frostburg, MD 21532-1448 Ph: (240) 284-2600 |
Lexi Broadwater, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11046 New Georges Creek Rd Sw, Frostburg, MD 21532 Phone: 240-284-2600 | |
Mrs. Jennifer Black, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11046 New Georges Creek Rd Sw, Frostburg, MD 21532 Phone: 240-284-2600 | |
Pamela Jean O' Baker, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1 Kaylor Cir, Frostburg, MD 21532 Phone: 301-689-7500 | |
Miss Laura E Nawiesniak, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Kaylor Cir, Frostburg, MD 21532 Phone: 301-689-7500 | |
Mrs. Gwendolyn Kay Strawderman, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11046 New Georges Creek Rd Sw, Frostburg, MD 21532 Phone: 301-697-0631 | |
Erica Ronnie Cunningham, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11046 New Georges Creek Rd Sw, Frostburg, MD 21532 Phone: 240-284-2600 |