Active NPI
Paulette O Jacinto, OTR
- Occupational Therapist
- Terre Haute, IN
National Provider Identifier
1144522012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31001020A
- Practice address
- 1606 N 7TH St
Terre Haute, IN 47804-2706 - Phone
- (812) 238-7362
- NPI assigned
- Nov 29, 2010
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31001020A | IN | Primary |
Addresses
Primary practice location
1606 N 7TH St
Terre Haute, IN 47804-2706
Mailing address
1606 N 7TH St
Terre Haute, IN 47804-2706
Phone (812) 238-7362
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31001020A | Other | IN | STATE LICENSE NUMBER |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31001020A | IN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423699200000",
"number": "1144522012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1606 N 7TH ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478042706",
"telephone_number": "812-238-7362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1606 N 7TH ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478042706",
"telephone_number": "812-238-7362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACINTO",
"first_name": "PAULETTE",
"middle_name": "O",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-29",
"last_updated": "2015-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31001020A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "31001020A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.