Active NPI
Trevor St Clair, OTR/L
- Occupational Therapist
- Indianapolis, IN
National Provider Identifier
1730592015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31008495A
- Practice address
- 9905 Fall Creed Road
Indianapolis, IN 46256 - Phone
- (317) 676-4700
- NPI assigned
- Jun 4, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 316029 | OR | |
| Occupational Therapist | 225X00000X | 8936 | NC | |
| Occupational Therapist | 225X00000X | 31008495A | IN | Primary |
Addresses
Primary practice location
9905 Fall Creed Road
Indianapolis, IN 46256
Mailing address
9905 Fall Creed Rd
Indianapolis, IN 46256
Phone (304) 288-2370
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
| License | State | Type | Specialty |
|---|---|---|---|
| 31008495A | IN | MD | Occupational Therapist |
| 8936 | NC | MD | Occupational Therapist |
| 316029 | OR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1730592015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9905 FALL CREED RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46256",
"telephone_number": "304-288-2370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9905 FALL CREED ROAD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46256",
"telephone_number": "317-676-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST CLAIR",
"first_name": "TREVOR",
"name_prefix": "Dr.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-04",
"last_updated": "2024-09-24",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "316029",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "8936",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31008495A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
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- SSC Personal Services LLC
- St Annas Medical Services Inc
- St Francis Behavioral Health
- St Francis Hospital and Health Center
- St Francis Hospital and Health Centers
- St Francis Hospital and Health Centers
- St Francis Medical Business Service
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.