Active NPI
Mandi Thompson
- Developmental Therapist
- Mooresville, IN
National Provider Identifier
1245043801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 9420 N Fairway LN
Mooresville, IN 46158-7351 - Phone
- (765) 761-7050
- NPI assigned
- Jan 28, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | IN | ||
| Other Technician | 247200000X | IN | ||
| Developmental Therapist | 222Q00000X | IN | Primary |
Addresses
Primary practice location
9420 N Fairway LN
Mooresville, IN 46158-7351
Mailing address
9420 N Fairway LN
Mooresville, IN 46158-7351
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738022400000",
"number": "1245043801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9420 N FAIRWAY LN",
"city": "MOORESVILLE",
"state": "IN",
"postal_code": "461587351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9420 N FAIRWAY LN",
"city": "MOORESVILLE",
"state": "IN",
"postal_code": "461587351",
"telephone_number": "765-761-7050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "MANDI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-28",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "IN",
"license": null,
"primary": false
},
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "IN",
"license": null,
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mooresville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.