Active NPI
John Paul Sears, OTR, PTA
- Occupational Therapist
- Bedford, IN
National Provider Identifier
1801217112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31005069A
- Practice address
- 2111 Norton LN
Bedford, IN 47421-4522 - Phone
- (812) 277-3759
- NPI assigned
- Jan 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 06003117A | IN | |
| Occupational Therapist | 225X00000X | 31005069A | IN | Primary |
Addresses
Primary practice location
2111 Norton LN
Bedford, IN 47421-4522
Mailing address
9957 Allisonville Rd
Fishers, IN 46038-2006
Phone (317) 841-7005
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 |
|---|---|---|---|
| 06003117A | IN | MD | Physical Therapy Assistant |
| 31005069A | IN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theracare Inc. | Physical Therapy Assistant | Past | Accepting new patients |
| Theracare Inc | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 2
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": "1388793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388793600000",
"number": "1801217112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9957 ALLISONVILLE RD",
"city": "FISHERS",
"state": "IN",
"postal_code": "460382006",
"telephone_number": "317-841-7005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 NORTON LN",
"city": "BEDFORD",
"state": "IN",
"postal_code": "474214522",
"telephone_number": "812-277-3759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEARS",
"first_name": "JOHN",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "OTR, PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-04",
"last_updated": "2014-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IN",
"license": "06003117A",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31005069A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.