Active NPI
Carol Blume
- Occupational Therapist
- Indianapolis, IN
National Provider Identifier
1710122478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31000535A
- Practice address
- 7212 US 31 S
Indianapolis, IN 46227-8549 - Phone
- (317) 889-9822
- NPI assigned
- Dec 10, 2008
- Last updated
- Jul 18, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31000535A | IN | Primary |
Addresses
Primary practice location
7212 US 31 S
Indianapolis, IN 46227-8549
Mailing address
189 South St
Southport, IN 46227-5114
Phone (317) 791-6160
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31000535A | IN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310947200000",
"number": "1710122478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "189 SOUTH ST",
"city": "SOUTHPORT",
"state": "IN",
"postal_code": "462275114",
"telephone_number": "317-791-6160",
"fax_number": "866-785-4924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7212 US 31 S",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462278549",
"telephone_number": "317-889-9822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUME",
"first_name": "CAROL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-10",
"last_updated": "2011-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31000535A",
"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 Jul 18, 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.