Active NPI
Dena Awad
- Physical Rehabilitation Occupational Therapist
- Fishers, IN
National Provider Identifier
1063182392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- 31007518A
- Practice address
- 9957 Allisonville Rd
Fishers, IN 46038-2006 - Phone
- (317) 841-7005
- Fax
- (317) 841-7029
- NPI assigned
- Sep 17, 2021
- Last updated
- Sep 17, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 31007518A | IN | Primary |
Addresses
Primary practice location
9957 Allisonville Rd
Fishers, IN 46038-2006
Mailing address
9957 Allisonville Rd
Fishers, IN 46038-2006
Phone (317) 841-7005
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 |
|---|---|---|---|
| 31007518A | IN | MD | Physical Rehabilitation Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theracare Inc. | Current | Accepting new patients | |
| Theracare Inc | Current | Accepting new patients |
Locations
9957 Allisonville Rd
Fishers, IN 46038
Phone (317) 841-7005
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631836800000",
"number": "1063182392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9957 ALLISONVILLE RD",
"city": "FISHERS",
"state": "IN",
"postal_code": "460382006",
"telephone_number": "317-841-7005",
"fax_number": "317-841-7029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9957 ALLISONVILLE RD",
"city": "FISHERS",
"state": "IN",
"postal_code": "460382006",
"telephone_number": "317-841-7005",
"fax_number": "317-841-7029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AWAD",
"first_name": "DENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-17",
"last_updated": "2021-09-17",
"certification_date": "2021-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "IN",
"license": "31007518A",
"primary": true
}
],
"identifiers": [],
"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 Sep 17, 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.