Individual provider Active NPI

Jaime R Becker, MSOTR/L

  • Occupational Therapist
  • Indianapolis, IN
National Provider Identifier
1578869210
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31004971A Issued in IN
Practice address
7242 Whitehall Dr
Indianapolis, IN 46256-2273
Phone
(317) 288-7606
Fax
(317) 288-7607
NPI assigned
Jan 27, 2011
Sex
Female
Sole proprietor
No

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

State licenses

LicenseStateTypeSpecialty
31004971AINMDOccupational Therapist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 31004971A IN Primary

Addresses

NPPES NPI Registry

Primary practice location

7242 Whitehall Dr
Indianapolis, IN 46256-2273

Mailing address

7027 Chesterton Cir
Indianapolis, IN 46237-8305
Phone (765) 465-9284

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 27, 2011.

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296086400000",
    "number": "1578869210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7027 CHESTERTON CIR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378305",
            "telephone_number": "765-465-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7242 WHITEHALL DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462562273",
            "telephone_number": "317-288-7606",
            "fax_number": "317-288-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "JAIME",
        "middle_name": "R",
        "credential": "MSOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-27",
        "last_updated": "2011-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31004971A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; 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.