Individual provider Active NPI

Jessica R. Obenhin, OTR

  • Occupational Therapist
  • Carmel, IN
National Provider Identifier
1265721641
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31004603A Issued in IN
Practice address
11550 N Meridian St
Suite 312
Carmel, IN 46032-6956
Phone
(317) 815-0778
NPI assigned
Apr 6, 2011
Last updated
Apr 6, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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 31004603A IN Primary

Addresses

Primary practice location

11550 N Meridian St
Suite 312
Carmel, IN 46032-6956

Mailing address

3950 Dunlap Dr
Indianapolis, IN 46221-2800
Phone (317) 945-4217

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
31004603AINMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Careerstaff Unlimited Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302048000000",
    "number": "1265721641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 DUNLAP DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462212800",
            "telephone_number": "317-945-4217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 N MERIDIAN ST",
            "address_2": "SUITE 312",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460326956",
            "telephone_number": "317-815-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBENHIN",
        "first_name": "JESSICA",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31004603A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.