Individual provider Active NPI

Angela Suzanne Tharp, OTD

  • Occupational Therapist
  • West Lafayette, IN
National Provider Identifier
1588393797
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31007720A Issued in IN
Practice address
5400 Gardenia CT
West Lafayette, IN 47906-9079
Phone
(765) 430-3789
NPI assigned
Jun 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 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 31007720A IN Primary

Addresses

Primary practice location

5400 Gardenia CT
West Lafayette, IN 47906-9079

Mailing address

5400 Gardenia CT
West Lafayette, IN 47906-9079
Phone (765) 430-3789

Other practice location 1

20 Professional Ct
Lafayette, IN 47905-5209
Phone (765) 423-7988

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
31007720AINMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Solutions LLC Occupational Therapist PastSince May 25, 2021 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1588393797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 GARDENIA CT",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479069079",
            "telephone_number": "765-430-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 GARDENIA CT",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479069079",
            "telephone_number": "765-430-3789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Professional Ct",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479055209",
            "country_code": "US",
            "telephone_number": "765-423-7988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THARP",
        "first_name": "ANGELA",
        "middle_name": "SUZANNE",
        "credential": "OTD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31007720A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.