Individual provider Active NPI

Hilary Vandervelde, COTA

  • Occupational Therapy Assistant
  • Saint John, IN
National Provider Identifier
1659181964
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
32003659A Issued in IN
Practice address
8626 Wicker Ave Ste C
Saint John, IN 46373-9053
Phone
(219) 440-7930
Fax
(219) 440-7931
NPI assigned
Jan 9, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 224Z00000X 32003659A IN Primary

Addresses

Primary practice location

8626 Wicker Ave Ste C
Saint John, IN 46373-9053

Mailing address

540 Meadow RDG
Schererville, IN 46375-2985
Phone (219) 629-6947

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
32003659AINMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
All of Me Therapy, LLC Multi-Specialty PastSince Jan 12, 2025 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": "1736380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1659181964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 MEADOW RDG",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463752985",
            "telephone_number": "219-629-6947",
            "fax_number": "219-440-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8626 WICKER AVE STE C",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463739053",
            "telephone_number": "219-440-7930",
            "fax_number": "219-440-7931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERVELDE",
        "first_name": "HILARY",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "IN",
            "license": "32003659A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint John, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.