Individual provider Active NPI

Brandi M Thorwarth, OTR/L

  • Pediatric Occupational Therapist
  • Madison, IN
National Provider Identifier
1245550920
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
31007908A Issued in IN
Practice address
2420 Wilson Ave
Madison, IN 47250-2135
Phone
(501) 802-5479
NPI assigned
Jun 4, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OTR1461 AR
Pediatric Occupational Therapist 225XP0200X 31007908A IN Primary

Addresses

Primary practice location

2420 Wilson Ave
Madison, IN 47250-2135

Mailing address

10223 E State Road 156
Vevay, IN 47043-2837
Phone (501) 802-5479

Other identifiers 1

IdentifierTypeStateIssuer
136478721MedicaidAR

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
OTR1461ARMDPediatric Occupational Therapist
31007908AINMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Therapy Group, Inc. Past Accepting new patients
SN Kentuckiana Rehab, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1245550920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10223 E STATE ROAD 156",
            "city": "VEVAY",
            "state": "IN",
            "postal_code": "470432837",
            "telephone_number": "501-802-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 WILSON AVE",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472502135",
            "telephone_number": "501-802-5479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORWARTH",
        "first_name": "BRANDI",
        "middle_name": "M",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-04",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AR",
            "license": "OTR1461",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IN",
            "license": "31007908A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136478721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.