Active NPI
Yvette Jacinta Thomas, OTR
- Occupational Therapist
- Ballwin, MO
National Provider Identifier
1821139635
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jan 20, 2025.
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 001382
- Practice address
- 1703 Stoney Terrace Dr
Ballwin, MO 63021-7783 - Phone
- (314) 239-0313
- Fax
- (636) 226-4712
- NPI assigned
- Feb 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 001382 | MO | Primary |
| Day Training/Habilitation Specialist | 373H00000X |
Addresses
Primary practice location
1703 Stoney Terrace Dr
Ballwin, MO 63021-7783
Mailing address
1703 Stoney Terrace Dr
Ballwin, MO 63021-7783
Phone (314) 239-0313
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1382 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360195200000",
"number": "1821139635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1703 STONEY TERRACE DR",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630217783",
"telephone_number": "314-239-0313",
"fax_number": "636-226-4712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1703 STONEY TERRACE DR",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630217783",
"telephone_number": "314-239-0313",
"fax_number": "636-226-4712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "YVETTE",
"middle_name": "JACINTA",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2013-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "001382",
"primary": true
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ballwin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.