Individual provider Active NPI

Judith M Tindall, OTR/L

  • Occupational Therapist
  • Stuart, FL
National Provider Identifier
1497416101
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
FL12159 Issued in FL
Practice address
4801 SE Cove Rd
Stuart, FL 34997-1602
Phone
(321) 917-0636
NPI assigned
Jan 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 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 FL12159 FL Primary

Addresses

Primary practice location

4801 SE Cove Rd
Stuart, FL 34997-1602

Mailing address

4801 SE Cove Rd
Stuart, FL 34997-1602

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
FL12159FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
At Home by Enhance Therapies LLC Occupational Therapist CurrentSince May 28, 2024 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Occupational Therapist CurrentSince Jan 31, 2025 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Occupational Therapist CurrentSince Jan 31, 2025 Accepting new patients
Empowerme Wellness Kansas City, LLC Occupational Therapist CurrentSince Jan 31, 2025 Accepting new patients
Empowerme Wellness Kansas City, LLC CurrentSince Jan 31, 2025 Accepting new patients

Locations

1021 W E St
Belleville, IL 62220
Phone (618) 233-2095

136 S Dipper Ln
Decatur, IL 62522
Phone (217) 428-7767

7108 Marine Rd
Edwardsville, IL 62025
Phone (618) 706-9759

7358 N Lincoln Ave
Ste 160
Lincolnwood, IL 60712
Phone (847) 983-8750

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

400 Route 70
Lakewood, NJ 08701
Phone (732) 802-7512

Organizations & group practices 5

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": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1497416101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 SE COVE RD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349971602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 SE COVE RD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349971602",
            "telephone_number": "321-917-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINDALL",
        "first_name": "JUDITH",
        "middle_name": "M",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "FL12159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.