Connie Jo Sears

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

225XOOOOOX Issued in IN

Practice address

1118 W Cross St
Anderson, IN 46011-9530

Phone

(765) 643-1504

Fax

(765) 643-1509

NPI assigned

Feb 19, 2010

Last updated

Feb 19, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266537600000",
    "number": "1588986384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1564 S 600 W",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460119439",
            "telephone_number": "765-534-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 W CROSS ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460119530",
            "telephone_number": "765-643-1504",
            "fax_number": "765-643-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEARS",
        "first_name": "CONNIE",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-19",
        "last_updated": "2010-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IN",
            "license": "225XOOOOOX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Scott
• Douglas A Scott, DC
• Michael J Scott, RPH
• Heidi Beth Seaborn, FNP
• Jennifer Seal
• L. Diann Seelbach, L.C.S.W.
• Dontrell Marquis Segarra, RBT
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• Selah House, LLC (Selah House)
• Lisa A Senour-Reboulet, PNP

• Occupational Therapy Assistant in Anderson, IN
• Providers in Anderson, IN by specialty
• Occupational Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; 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.