Active NPI
Sharon M Sommerville, OTR
- Occupational Therapist
- Indianapolis, IN
National Provider Identifier
1083812036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31001417A
- Practice address
- 5061 Doe Cir
Indianapolis, IN 46254-3732 - Phone
- (317) 372-2628
- Fax
- (317) 299-8005
- NPI assigned
- Jul 10, 2007
- 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 | 31001417A | IN | Primary |
Addresses
Primary practice location
5061 Doe Cir
Indianapolis, IN 46254-3732
Mailing address
5061 Doe Cir
Indianapolis, IN 46254-3732
Phone (317) 372-2628
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 |
|---|---|---|---|
| 31001417A | IN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1083812036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5061 DOE CIR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462543732",
"telephone_number": "317-372-2628",
"fax_number": "317-299-8005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5061 DOE CIR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462543732",
"telephone_number": "317-372-2628",
"fax_number": "317-299-8005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOMMERVILLE",
"first_name": "SHARON",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-10",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31001417A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.