Active NPI
Linda Niedermeyer Okleshen
- Developmental Therapist
- Fort Wayne, IN
National Provider Identifier
1306480603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 8413 Hunters Knoll Run
Fort Wayne, IN 46825-6406 - Phone
- (260) 433-6860
- NPI assigned
- Oct 30, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | IN | Primary |
Addresses
Primary practice location
8413 Hunters Knoll Run
Fort Wayne, IN 46825-6406
Mailing address
8413 Hunters Knoll Run
Fort Wayne, IN 46825-6406
Phone (260) 433-6860
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572393600000",
"number": "1306480603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8413 HUNTERS KNOLL RUN",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468256406",
"telephone_number": "260-433-6860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8413 HUNTERS KNOLL RUN",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468256406",
"telephone_number": "260-433-6860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKLESHEN",
"first_name": "LINDA",
"middle_name": "NIEDERMEYER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-30",
"last_updated": "2019-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.