Mandy Lynn Higginbotham, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31003545A Issued in IN

Practice address

450 8TH Ave.
Terre Haute, IN 47804-2780

Phone

(812) 238-7362

NPI assigned

Jan 5, 2011

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Union Hospital, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Clinton, IN
  • NPI 1487652319
  NPD (past)

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1366746307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 8TH AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478044030",
            "telephone_number": "812-238-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 8TH AVE.",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478042780",
            "telephone_number": "812-238-7362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINBOTHAM",
        "first_name": "MANDY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-05",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31003545A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "31003545A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• HH in LLC Holding Corporation
• Alyssa Hibble
• Kristiana Hickenbotham, PMHNP
• Stephanie M Hicks, OTR
• Megan Elizabeth Higashimura, M.S.
• Susan Higginbotham
• Highland Retina Associates, LLC
• Jody Michelle Hill, NP
• Larry R Hill, CRNA
• Marcellus Hill

• Occupational Therapist in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.