Individual provider Active NPI

Jay Toole, M.S. OTR

  • Occupational Therapist
  • Plainfield, IN
National Provider Identifier
1538569082
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
115756 Issued in TX
Practice address
5865 Sugar LN
Plainfield, IN 46168-8328
Phone
(317) 839-7900
NPI assigned
Sep 2, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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 115756 TX Primary

Addresses

Primary practice location

5865 Sugar LN
Plainfield, IN 46168-8328

Mailing address

1450 Robb Hill Rd
Martinsville, IN 46151-8900
Phone (310) 990-2666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220603001610 IN Practitioner - Occupational Therapist in Private Practice 5092193029 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Rehabilitation Illinois LLCGroup PAC ID 2365718277, 361 clinicians

Practice addresses (Care Compare)

1300 Vale Park Rd
Valparaiso, IN 46383-2722
Phone (219) 786-2123

5865 Sugar LN
Plainfield, IN 46168-8328
Phone (463) 233-9777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
115756TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Health Care Management LLC Occupational Therapist CurrentSince Jul 1, 2024 Accepting new patients
Creative Health Care Management LLC Occupational Therapist CurrentSince Jul 1, 2024 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Occupational Therapist CurrentSince Jun 1, 2022 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Occupational Therapist CurrentSince Jun 1, 2022 Accepting new patients

Locations

3203 E Moores Pike
Bloomington, IN 47401
Phone (812) 269-8220

1941 W US Highway 40
Brazil, IN 47834
Phone (812) 420-2188

11570 E 126th St
Fishers, IN 46037
Phone (317) 349-5913

300 E Washington Blvd
Fort Wayne, IN 46802
Phone (260) 422-5511

7900 Rhode Island St
#1504
Merrillville, IN 46410
Phone (219) 649-0625

10 S 9th St
Ste 4
Noblesville, IN 46060

5865 Sugar Ln
Plainfield, IN 46168
Phone (317) 680-7999

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

Organizations & group practices 4

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": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1538569082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 ROBB HILL RD",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461518900",
            "telephone_number": "310-990-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5865 SUGAR LN",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461688328",
            "telephone_number": "317-839-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOOLE",
        "first_name": "JAY",
        "credential": "M.S. OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-02",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "115756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.