Individual provider Active NPI

Tricia Thorman, OTR/L

  • Occupational Therapist
  • Youngstown, OH
National Provider Identifier
1154520385
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.005703 Issued in OH
Practice address
299 Edwards St
Youngstown, OH 44502-1504
Phone
(330) 743-1168
Fax
(330) 743-1616
NPI assigned
Jul 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

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 OT.005703 OH Primary

Addresses

Primary practice location

299 Edwards St
Youngstown, OH 44502-1504

Mailing address

708 E Fairmont Ave
New Castle, PA 16105-2245
Phone (724) 971-3902

Other identifiers 1

IdentifierTypeStateIssuer
0078348MedicaidOH

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

LicenseStateTypeSpecialty
OT.005703OHMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425513600000",
    "number": "1154520385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 E FAIRMONT AVE",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161052245",
            "telephone_number": "724-971-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 EDWARDS ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445021504",
            "telephone_number": "330-743-1168",
            "fax_number": "330-743-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORMAN",
        "first_name": "TRICIA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2015-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT.005703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0078348",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.

Verify at the official NPI Registry.