Havilah S Champoux, MS, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

7478 Shadeland Station Way
Indianapolis, IN 46256-3925

Phone

(317) 288-7606

NPI assigned

Aug 22, 2018

Last updated

Aug 22, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Theracare Inc

  dba Footprints Pediatric Inc

  • Rehabilitation Clinic/Center
  • Osceola, IN
  • NPI 1811165269

  Occupational Therapist

  Medicare reassignment NPD
• Playology Pediatric Therapy LLC

  • Occupational Therapist
  • Syracuse, IN
  • NPI 1518687656
  NPD Authorized official
• Children's Therapy Connection, Inc.

  • Physical Therapist
  • Indianapolis, IN
  • NPI 1366609166
  NPD (past)

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1316428089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8828 ELLINGTON DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462342218",
            "telephone_number": "574-524-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7478 SHADELAND STATION WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563925",
            "telephone_number": "317-288-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPOUX",
        "first_name": "HAVILAH",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Paul Chambers, NP
• Robert Andrew Chambers, M.D.
• Sanchitta Chambers
• Jonathan Chamblee, MA, MSW
• Nicholas Alan Champlin, PA-C
• Lisa Liman Chan-Owensby, NP
• Consolacion Monica B Chan, FNP-C
• Edward M Chan, M.D.
• Jana B Chan, PHD
• Joseph Mun Hoong Chan, MD

• Occupational Therapist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.