Provider Demographics
NPI:1467460378
Name:TAYLOR, HEATHER RUTH (OTR)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:RUTH
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MS
Other - First Name:HEATHER
Other - Middle Name:TAYLOR
Other - Last Name:PURCELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:57 REGIONAL DR.
Mailing Address - Street 2:SUITE #7
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301
Mailing Address - Country:US
Mailing Address - Phone:603-226-2900
Mailing Address - Fax:603-226-2903
Practice Address - Street 1:57 REGIONAL DR.
Practice Address - Street 2:SUITE #7
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301
Practice Address - Country:US
Practice Address - Phone:603-226-2900
Practice Address - Fax:603-226-2903
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2013-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2263225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
2779432OtherCIGNA HEALTH PLAN
OT0065OtherBLUE CROSS
43213OtherFALLON COMM HEALTH PLAN
MA0319091Medicaid
042472266OtherPRIVATE HEALTHCARE SYSTEM
042472266OtherHEALTHCARE VALUE MGMT
042472266OtherONE HEALTH PLAN
AA4053OtherHARVARD PILGRIM HEALTHCAR
0319091OtherWELFARE
670001299OtherRAILROAD MEDICARE
787418OtherMVP HEALTH CARE
7571599OtherUS HEALTHCARE
Y68483OtherMEDICARE B
042472266OtherTHREE RIVERS
7571599OtherAETNA
042472266OtherONE HEALTH PLAN