Active NPI
Thomas Henry Partain, L.O.T.
- Occupational Therapist
- Salem, IL
National Provider Identifier
1235228396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 1201 Ricker Rd
Salem, IL 62881-4263 - Phone
- (618) 548-3194
- Fax
- (618) 548-4902
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- 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 | IL | Primary |
Addresses
Primary practice location
1201 Ricker Rd
Salem, IL 62881-4263
Mailing address
3751 Skillet Fork Road
P.O. Box 176
Iuka, IL 62849
Phone (618) 323-6363
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 370925318-007 | Medicaid | IL |
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 |
|---|---|---|---|
| 056.007287 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1235228396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3751 SKILLET FORK ROAD",
"address_2": "P.O. BOX 176",
"city": "IUKA",
"state": "IL",
"postal_code": "62849",
"telephone_number": "618-323-6363",
"fax_number": "618-323-6363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 RICKER RD",
"city": "SALEM",
"state": "IL",
"postal_code": "628814263",
"telephone_number": "618-548-3194",
"fax_number": "618-548-4902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARTAIN",
"first_name": "THOMAS",
"middle_name": "HENRY",
"name_prefix": "Mr.",
"credential": "L.O.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "370925318-007",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salem, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.