Active NPI
My-E-Therapy LLC
- Occupational Therapist
- Terre Haute, IN
National Provider Identifier
1245861855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- MY-E-THERAPY LLC
- Practice address
- 4790 E Brentview Ave
Terre Haute, IN 47805-9776 - Phone
- (812) 239-5355
- NPI assigned
- Feb 1, 2020
- Last updated
- Apr 20, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shelby Bennett, MS,OTR/L
- Title
- Owner
- Phone
- (812) 239-5355
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | NU | Primary |
Addresses
Primary practice location
4790 E Brentview Ave
Terre Haute, IN 47805-9776
Mailing address
4790 E Brentview Ave
Terre Haute, IN 47805-9776
Phone (812) 239-5355
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | TerraHaute |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Occupational Therapist
- Indianapolis, IN
- NPI 1205323425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1587340800000",
"number": "1245861855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4790 E BRENTVIEW AVE",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478059776",
"telephone_number": "812-239-5355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4790 E BRENTVIEW AVE",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478059776",
"telephone_number": "812-239-5355"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY-E-THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-01",
"last_updated": "2020-04-20",
"certification_date": "2020-04-20",
"status": "A",
"authorized_official_last_name": "BENNETT",
"authorized_official_first_name": "SHELBY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "812-239-5355",
"authorized_official_credential": "MS,OTR/L"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "TerraHaute",
"affiliation": "N",
"address_1": "4790 E Brentview Ave",
"city": "Terre Haute",
"state": "IN",
"country_code": "US",
"postal_code": "478059776",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.