Active NPI
Home Mobility Consulting
- Environmental Modification Occupational Therapist
- Crown Point, IN
National Provider Identifier
1033796529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Environmental Modification Occupational Therapist
- Legal business name
- HOME MOBILITY CONSULTING
- Practice address
- 13318 Chase St
Crown Point, IN 46307-9763 - Phone
- (219) 713-2198
- NPI assigned
- Mar 29, 2021
- Last updated
- Mar 29, 2021
- 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
- Teri Deyoung, OTR, ECHM, CLIPP
- Title
- Owner
- Phone
- (219) 713-2198
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Environmental Modification Occupational Therapist | 225XE0001X | Primary |
Addresses
Primary practice location
13318 Chase St
Crown Point, IN 46307-9763
Mailing address
13318 Chase St
Crown Point, IN 46307-9763
Phone (219) 713-2198
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194318113 | Other | IN | NPPES |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Environmental Modification Occupational Therapist
- Crown Point, IN
- NPI 1194318113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616976000000",
"number": "1033796529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13318 CHASE ST",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463079763",
"telephone_number": "219-713-2198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13318 CHASE ST",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463079763",
"telephone_number": "219-713-2198"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME MOBILITY CONSULTING",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-29",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A",
"authorized_official_last_name": "DEYOUNG",
"authorized_official_first_name": "TERI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "219-713-2198",
"authorized_official_credential": "OTR, ECHM, CLIPP"
},
"taxonomies": [
{
"code": "225XE0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist, Environmental Modification",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPPES",
"identifier": "1194318113",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.