Individual provider Active NPI

Hayley Surface, OTR

  • Occupational Therapist
  • Brownsburg, IN
National Provider Identifier
1255039723
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31007957A Issued in IN
Practice address
1353 E Main St
Brownsburg, IN 46112-1433
Phone
(317) 520-4748
NPI assigned
Feb 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 31007957A IN Primary

Addresses

Primary practice location

1353 E Main St
Brownsburg, IN 46112-1433

Mailing address

6239 S East St Ste a
Indianapolis, IN 46227-2088
Phone (317) 791-9031

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
31007957AINMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
K1DS Count Therapy, LLC Behavior Technician CurrentSince Feb 26, 2023 Accepting new patients
Pediplay LLC Occupational Therapist PastSince Feb 11, 2024 Accepting new patients

Locations

1353 E Main St
Brownsburg, IN 46112
Phone (317) 294-5242

4695 E Northfield Dr
Brownsburg, IN 46112
Phone (260) 515-1957

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": "1677110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1255039723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6239 S EAST ST STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462272088",
            "telephone_number": "317-791-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 E MAIN ST",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461121433",
            "telephone_number": "317-520-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURFACE",
        "first_name": "HAYLEY",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-23",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31007957A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.