Organization Active NPI

T.O.T.S. LLC

  • Occupational Therapist
  • Fishers, IN
National Provider Identifier
1023283496
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31003880A Issued in IN
Legal business name
T.O.T.S. LLC
Practice address
11314 Crows Nest
Fishers, IN 46038-4627
Phone
(317) 429-6555
Fax
(866) 873-3708
NPI assigned
Apr 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Dena Rae Tackett, OTR
Title
Occupational Therapist
Phone
(317) 429-6555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 31003880A IN Primary

Addresses

Primary practice location

11314 Crows Nest
Fishers, IN 46038-4627

Mailing address

11314 Crows Nest
Fishers, IN 46038-4627
Phone (317) 429-6555

Other identifiers 1

IdentifierTypeStateIssuer
200468810MedicaidIN

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1023283496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11314 CROWS NEST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460384627",
            "telephone_number": "317-429-6555",
            "fax_number": "866-873-3708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11314 CROWS NEST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460384627",
            "telephone_number": "317-429-6555",
            "fax_number": "866-873-3708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T.O.T.S. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "TACKETT",
        "authorized_official_first_name": "DENA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "317-429-6555",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31003880A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200468810",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.