Active NPI
Erica Jones, MS, OTR/L
- Physical Rehabilitation Occupational Therapist
- Evansville, IN
National Provider Identifier
1396078614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- 31004810A
- Practice address
- 11420 Kestrel CT
Evansville, IN 47725-9796 - Phone
- (812) 449-6511
- NPI assigned
- Sep 18, 2009
- Last updated
- Oct 6, 2020
- 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 |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 31004810A | IN | Primary |
Addresses
Primary practice location
11420 Kestrel CT
Evansville, IN 47725-9796
Mailing address
11420 Kestrel CT
Evansville, IN 47725-9796
Phone (812) 449-6511
Other practice location 1
8549 Madison Ave
Indianapolis, IN 46227-6153
Phone (317) 881-9164 ext. 350
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31004810A | IN | MD | Physical Rehabilitation Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Groundworks Pediatric Therapy LLC | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Feeding, Eating & Swallowing Occupational Therapist
- Evansville, IN
- NPI 1689273195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601942400000",
"number": "1396078614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11420 KESTREL CT",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477259796",
"telephone_number": "812-449-6511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11420 KESTREL CT",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477259796",
"telephone_number": "812-449-6511"
}
],
"practiceLocations": [
{
"address_1": "8549 Madison Ave",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462276153",
"country_code": "US",
"telephone_number": "317-881-9164 x350",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "ERICA",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-18",
"last_updated": "2020-10-06",
"certification_date": "2020-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "IN",
"license": "31004810A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.