Active NPI
Shirley Duoos Altstadt, O.T.R.
- Occupational Therapist
- Carmel, IN
National Provider Identifier
1043394737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31002708A
- Practice address
- 37 Thornhurst Dr
Carmel, IN 46032-1413 - Phone
- (317) 846-2464
- Fax
- (317) 846-2464
- NPI assigned
- Oct 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31002708A | IN | Primary |
Addresses
Primary practice location
37 Thornhurst Dr
Carmel, IN 46032-1413
Mailing address
37 Thornhurst Dr
Carmel, IN 46032-1413
Phone (317) 846-2464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31002708A | IN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221004800000",
"number": "1043394737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 THORNHURST DR",
"city": "CARMEL",
"state": "IN",
"postal_code": "460321413",
"telephone_number": "317-846-2464",
"fax_number": "317-846-2464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 THORNHURST DR",
"city": "CARMEL",
"state": "IN",
"postal_code": "460321413",
"telephone_number": "317-846-2464",
"fax_number": "317-846-2464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTSTADT",
"first_name": "SHIRLEY",
"middle_name": "DUOOS",
"name_prefix": "Mrs.",
"credential": "O.T.R.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2008-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31002708A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.