Individual provider Active NPI

Tami Lee Thornton, OTR

  • Occupational Therapist
  • Indianapolis, IN
National Provider Identifier
1831237544
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3317 Issued in AZ
Practice address
120 E. Walnut Street
Indianapolis, IN 46204-1312
Phone
(317) 226-4000
NPI assigned
Feb 2, 2007
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 31006571A IN
Occupational Therapist 225X00000X 3317 AZ Primary

Addresses

Primary practice location

120 E. Walnut Street
Indianapolis, IN 46204-1312

Mailing address

12037 Eagleview Dr
Zionsville, IN 46077-4621
Phone (602) 761-0325

Other identifiers 1

IdentifierTypeStateIssuer
893471OtherAZAHCCCS PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250409002746 IN Practitioner - Occupational Therapist in Private Practice 8123306537 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3317AZMDPsychologist
31006571AINMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC CurrentSince Mar 28, 2025 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Occupational Therapist CurrentSince Mar 28, 2025 Accepting new patients

Locations

9002 N Meridian St
Ste 111
Indianapolis, IN 46260
Phone (317) 779-3530

1805 E Hoffer St
Kokomo, IN 46902
Phone (765) 450-7261

2108 E Boulevard
Kokomo, IN 46902
Phone (765) 416-8480

2 Broadway Plz
Peru, IN 46970
Phone (765) 753-8829

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1831237544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12037 EAGLEVIEW DR",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460774621",
            "telephone_number": "602-761-0325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E. WALNUT STREET",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462041312",
            "telephone_number": "317-226-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "TAMI",
        "middle_name": "LEE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31006571A",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "3317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS PROVIDER NUMBER",
            "identifier": "893471",
            "state": "AZ"
        }
    ],
    "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 Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.