Provider Demographics
NPI:1710525522
Name:HIGGINS, JOSEPH J (OTR)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:J
Last Name:HIGGINS
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:366 WASHINGTON HWY
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-4361
Mailing Address - Country:US
Mailing Address - Phone:716-361-6658
Mailing Address - Fax:716-839-4417
Practice Address - Street 1:366 WASHINGTON HWY
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-4361
Practice Address - Country:US
Practice Address - Phone:716-361-6658
Practice Address - Fax:716-839-4417
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-12
Last Update Date:2019-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002051-1225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation