Active NPI
Anthony Jay Hautman
- Occupational Therapist
- Huntingburg, IN
National Provider Identifier
1275834764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 99044746A
- Practice address
- 1712 N Leland Dr
Huntingburg, IN 47542-9348 - Phone
- (812) 683-4090
- NPI assigned
- Nov 15, 2010
- Last updated
- Nov 15, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 99044746A | IN | Primary |
Addresses
Primary practice location
1712 N Leland Dr
Huntingburg, IN 47542-9348
Mailing address
6841 Romaine Rd
Poseyville, IN 47633-8826
Phone (812) 205-9994
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
| License | State | Type | Specialty |
|---|---|---|---|
| 99044746A | IN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289779200000",
"number": "1275834764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6841 ROMAINE RD",
"city": "POSEYVILLE",
"state": "IN",
"postal_code": "476338826",
"telephone_number": "812-205-9994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1712 N LELAND DR",
"city": "HUNTINGBURG",
"state": "IN",
"postal_code": "475429348",
"telephone_number": "812-683-4090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUTMAN",
"first_name": "ANTHONY",
"middle_name": "JAY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-15",
"last_updated": "2010-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "99044746A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntingburg, IN
- Jenna N Gogel, D.C.
- Dane Troy Goodwin, DDS
- Jamie Lynn Greenwell, DMD, MS, ABGD, FAGD
- Ava Ham
- Carolyn Hampton, LAT, ATC
- Healthcare Centers of Indiana, LLC (the Waters Of Huntingburg)
- Britni Nichole Hendrix, PTA
- Hook-Superx LLC (CVS Pharmacy #06881)
- Gavin Lee Hopf
- Houchens Express Pharmacy LLC (Sheldon's Express Pharmacy #6)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.