Individual provider Active NPI

Hannah Mahnesmith, OTR

  • Pediatric Occupational Therapist
  • Osceola, IN
National Provider Identifier
1083465207
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
31008346A Issued in IN
Practice address
1415 Lincolnway W
Osceola, IN 46561-2062
Phone
(317) 841-7005
NPI assigned
Mar 27, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 31008346A IN Primary

Addresses

Primary practice location

1415 Lincolnway W
Osceola, IN 46561-2062

Mailing address

1415 Lincolnway W
Osceola, IN 46561-2062

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241010002206 IN Practitioner - Occupational Therapist in Private Practice 6305378761 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Theracare Inc. Pediatrics CurrentSince Jul 12, 2024 Accepting new patients
Theracare Inc CurrentSince Jul 12, 2024 Accepting new patients

Locations

9957 Allisonville Rd
Fishers, IN 46038
Phone (317) 841-7005

1415 Lincolnway W
Ste M
Osceola, IN 46561
Phone (574) 607-1122

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": "1711497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1083465207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 LINCOLNWAY W",
            "city": "OSCEOLA",
            "state": "IN",
            "postal_code": "465612062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 LINCOLNWAY W",
            "city": "OSCEOLA",
            "state": "IN",
            "postal_code": "465612062",
            "telephone_number": "317-841-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHNESMITH",
        "first_name": "HANNAH",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IN",
            "license": "31008346A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osceola, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.