Individual provider Active NPI

Trevor Hetrick, OT

  • Occupational Therapist
  • Terre Haute, IN
National Provider Identifier
1316694623
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31007660A Issued in IN
Practice address
619 E Springhill Dr
Terre Haute, IN 47802-4448
Phone
(812) 232-3504
NPI assigned
Mar 7, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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 31007660A IN Primary

Addresses

Primary practice location

619 E Springhill Dr
Terre Haute, IN 47802-4448

Mailing address

619 E Springhill Dr
Terre Haute, IN 47802-4448
Phone (812) 232-3504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220315001565 IN Practitioner - Occupational Therapist in Private Practice 1850786617 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prorehab IncGroup PAC ID 1254317217, 81 clinicians

Practice addresses (Care Compare)

2121 Willow St
Vincennes, IN 47591-5355
Phone (812) 882-1141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31007660AINMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Orthopaedic Surgeons, Inc. Occupational Therapist CurrentSince Jun 16, 2025 Accepting new patients
Orthopaedics-Indianapolis, Inc CurrentSince Jul 1, 2025 Accepting new patients
Prorehab Inc Occupational Therapist CurrentSince Jun 16, 2025 Accepting new patients
Orthopaedics-Indianapolis, Inc CurrentSince Jul 1, 2025 Accepting new patients
Tri-State Orthopaedic Surgeons, Inc. CurrentSince Jun 16, 2025 Accepting new patients
Orthopaedics-Indianapolis, Inc Occupational Therapist Current Accepting new patients
Tri-State Orthopaedic Surgeons, Inc. Current Accepting new patients
Prorehab Inc Occupational Therapist CurrentSince Jun 16, 2025 Accepting new patients

Locations

5625 Pearl Dr
Ste 101
Evansville, IN 47712
Phone (812) 474-3800

225 Crosslake Dr
Evansville, IN 47715
Phone (812) 471-6677

8450 Northwest Blvd
Indianapolis, IN 46278

8887 High Pointe Dr
Ste E
Newburgh, IN 47630
Phone (812) 759-7464

2121 Willow St
Vincennes, IN 47591
Phone (812) 882-1141

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

Organizations & group practices 8

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": "1646611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1316694623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 E SPRINGHILL DR",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024448",
            "telephone_number": "812-232-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 E SPRINGHILL DR",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024448",
            "telephone_number": "812-232-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETRICK",
        "first_name": "TREVOR",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31007660A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.