Julie Anne Inda, M.S. O.T.R./L

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

License

056003047 Issued in IL

Practice address

2530 N Monroe St
Decatur, IL 62526-3249

Phone

(217) 875-0020

Fax

(217) 872-1734

NPI assigned

Feb 24, 2014

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

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.

• Preferred Podiatry Group PC

  • Podiatrist
  • Oak Harbor, WA
  • NPI 1720037138
  NPD (past)

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393200000000",
    "number": "1649695933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 N MONROE ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625263249",
            "telephone_number": "217-875-0020",
            "fax_number": "217-872-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 N MONROE ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625263249",
            "telephone_number": "217-875-0020",
            "fax_number": "217-872-1734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INDA",
        "first_name": "JULIE",
        "middle_name": "ANNE",
        "credential": "M.S. O.T.R./L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-24",
        "last_updated": "2014-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "IL",
            "license": "056003047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gerontology Occupational Therapist in Decatur, IL
• Providers in Decatur, IL by specialty
• Gerontology Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; 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.