Indy Pediatric Occupational Therapy LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

31002231A Issued in IN

Legal business name

INDY PEDIATRIC OCCUPATIONAL THERAPY LLC

Practice address

911 E 86TH St
Suite107
Indianapolis, IN 46240-1850

Phone

(317) 257-1111

Fax

(317) 257-2222

NPI assigned

Jan 26, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly Ann Herring-Anthony, OTR

Title

Owner

Phone

(317) 257-1111

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Watkins, COTA

  • Occupational Therapy Assistant
  • Indianapolis, IN
  • NPI 1225378409
  NPD (past)

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

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1184995862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 E 86TH ST",
            "address_2": "SUITE107",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401850",
            "telephone_number": "317-257-1111",
            "fax_number": "317-257-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 E 86TH ST",
            "address_2": "SUITE107",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401850",
            "telephone_number": "317-257-1111",
            "fax_number": "317-257-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDY PEDIATRIC OCCUPATIONAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-26",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "HERRING-ANTHONY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-257-1111",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IN",
            "license": "31002231A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Indy Pain & Injury Centers LLC
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• Indy Personal Home Care LLC
• Indy Physical Therapy
• Indy Physical Therapy
• Indy Physical Therapy, P.C.
• Indy Physical Therapy, P.C.

• Clinic/Center in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.