Louann Gross, OT
Individual provider Active NPI Occupational Therapist · Kempton, IN
NPI 1013000512 · NPPES record last updated Mar 21, 2008
Key facts
- NPI
- 1013000512
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 31003891A (IN)
- Practice address
- 1164 N County Road 1400 E
Kempton, IN 46049-9617 - Phone
- (765) 210-0955
- Fax
- (765) 210-0955
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31003891A | IN | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31003891A | IN | Yes |
Addresses
Primary practice location
1164 N County Road 1400 E
Kempton, IN 46049-9617
Mailing address
1164 N County Road 1400 E
Kempton, IN 46049-9617
Phone (765) 210-0955
Other providers in Kempton, IN
All providers in Kempton, IN · Occupational Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.