Individual provider Active NPI

Vicki Lynn Eklof, MS, OTR

  • Occupational Therapist
  • Avon, IN
National Provider Identifier
1043456627
Registry record updated Jan 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31000434A Issued in IN
Practice address
445 S County Road 525 E
Avon, IN 46123-8361
Phone
(317) 745-1390
Fax
(317) 745-2991
NPI assigned
Jan 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 31000434A IN Primary

Addresses

Primary practice location

445 S County Road 525 E
Avon, IN 46123-8361

Mailing address

445 S County Road 525 E
Avon, IN 46123-8361
Phone (317) 745-1390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220323000681 IN Practitioner - Occupational Therapist in Private Practice 2062807308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Powerback Rehabilitation LLCGroup PAC ID 2365359932, 600 clinicians

Practice addresses (Care Compare)

2141 N Dan Jones Rd
Avon, IN 46123-6023
Phone (317) 943-1837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Powerback Rehabilitation LLC Occupational Therapist CurrentSince Feb 1, 2022 Accepting new patients
Powerback Rehabilitation LLC Occupational Therapist CurrentSince Feb 1, 2022 Accepting new patients

Locations

101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1230768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230768000000",
    "number": "1043456627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 S COUNTY ROAD 525 E",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461238361",
            "telephone_number": "317-745-1390",
            "fax_number": "317-745-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 S COUNTY ROAD 525 E",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461238361",
            "telephone_number": "317-745-1390",
            "fax_number": "317-745-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKLOF",
        "first_name": "VICKI",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "MS, OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-01",
        "last_updated": "2009-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31000434A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.