Active NPI
T.O.T.S. LLC
- Occupational Therapist
- Fishers, IN
National Provider Identifier
1023283496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31003880A
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200468810 | Medicaid | IN |
National Provider Directory
National Provider DirectoryNPI 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.