Mandi Packer, O.T.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5099 Issued in OH

Practice address

8745 Blackbird LN
Thornville, OH 43076-9515

Phone

(740) 246-5483

Fax

(740) 246-6480

NPI assigned

Jul 18, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Affordable Home Health Care, LLC

  dba Summit Therapy Solutions

  • Physical Therapist
  • Columbus, OH
  • NPI 1457216277

  Occupational Therapist

  Medicare reassignment NPD
• Affordable Home Health Care, LLC

  dba Summit Home Care

  • Home Health Agency
  • Grandview Heights, OH
  • NPI 1861413999
  NPD
• Terra Health Inc.

  • Rehabilitation Clinic/Center
  • Thornville, OH
  • NPI 1053382325
  NPD (past)
• Terra Health, LLC

  • Physical Therapist
  • Thornville, OH
  • NPI 1649293770
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518985423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 SYCAMORE WAY",
            "city": "THORNVILLE",
            "state": "OH",
            "postal_code": "430768001",
            "telephone_number": "740-246-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8745 BLACKBIRD LN",
            "city": "THORNVILLE",
            "state": "OH",
            "postal_code": "430769515",
            "telephone_number": "740-246-5483",
            "fax_number": "740-246-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKER",
        "first_name": "MANDI",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "5099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Licking Township (Licking Township Fire Company)
• Drewanne Maffett, EP
• Northern Local School District
• Northern Local Schools
• Vanessa Marie O'Brien, LPN
• Anjanette Pitcock, OT/L
• Podiatric Associates of Southeastern Ohio, Inc.
• Ferlinda Powers
• Shelby K Raiser, DO
• Christopher A. Reynard, LMT

• Occupational Therapist in Thornville, OH
• Providers in Thornville, OH by specialty
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.