Individual provider Active NPI

Nayan Tara Mirchandani, MS OTR

  • Occupational Therapist
  • Franklin, IN
National Provider Identifier
1174629620
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31000117A Issued in IN
Practice address
809 Hospital Rd
Franklin, IN 46131-7699
Phone
(317) 738-6950
Fax
(317) 534-1034
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2014

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 31000117A IN Primary

Addresses

Primary practice location

809 Hospital Rd
Franklin, IN 46131-7699

Mailing address

809 Hospital Rd
PO Box 466
Franklin, IN 46131-7699
Phone (317) 738-6950

Other identifiers 4

IdentifierTypeStateIssuer
200602000OtherINRENDERING FS
100314180AMedicaidIN
200429410AMedicaidIN
200701710AOtherINFIRST STEPS

Other names 1

  • Nayan Tara Mirchandani Other name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
31000117AINMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403222400000",
    "number": "1174629620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 HOSPITAL RD",
            "address_2": "PO BOX 466",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461317699",
            "telephone_number": "317-738-6950",
            "fax_number": "317-534-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 HOSPITAL RD",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461317699",
            "telephone_number": "317-738-6950",
            "fax_number": "317-534-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRCHANDANI",
        "first_name": "NAYAN",
        "middle_name": "TARA",
        "credential": "MS OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2014-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31000117A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RENDERING FS",
            "identifier": "200602000",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100314180A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200429410A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST STEPS",
            "identifier": "200701710A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAYAN",
            "last_name": "MIRCHANDANI",
            "middle_name": "TARA",
            "credential": "MS OTR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Franklin, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; 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.