Individual provider Active NPI

Caroline Thomson

  • Occupational Therapy Assistant
  • Mooresville, IN
National Provider Identifier
1356945372
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
32003513A Issued in IN
Practice address
802 N Samuel Moore Pkwy
Mooresville, IN 46158-1467
Phone
(317) 834-0200
NPI assigned
Nov 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 32003513A IN Primary

Addresses

Primary practice location

802 N Samuel Moore Pkwy
Mooresville, IN 46158-1467

Mailing address

7884 Creek Ridge Dr
Brownsburg, IN 46112-8214
Phone (317) 989-7238

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
32003513AINMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Center for Conductive Education Inc CurrentSince Dec 6, 2020 Accepting new patients

Locations

802 N Samuel Moore Pkwy
Mooresville, IN 46158
Phone (317) 834-0200

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1356945372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7884 CREEK RIDGE DR",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461128214",
            "telephone_number": "317-989-7238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 N SAMUEL MOORE PKWY",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461581467",
            "telephone_number": "317-834-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMSON",
        "first_name": "CAROLINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IN",
            "license": "32003513A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.