Individual provider Active NPI

Cherlyn PO, OTR

  • Occupational Therapist
  • South Bend, IN
National Provider Identifier
1831345248
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3104312A Issued in IN
Practice address
52654 N Ironwood Rd
South Bend, IN 46637
Phone
(574) 277-8710
NPI assigned
Aug 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 3104312A IN Primary

Addresses

Primary practice location

52654 N Ironwood Rd
South Bend, IN 46637

Mailing address

405 Court of the Royal Arms
South Bend, IN 46637-4837

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090828000037 IN Practitioner - Occupational Therapist in Private Practice 1254486145 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3104312AINMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Powerback Rehabilitation LLC Occupational Therapist CurrentSince Jul 24, 2025 Accepting new patients
Powerback Rehabilitation LLC Occupational Therapist CurrentSince Jul 24, 2025 Accepting new patients
Michiana Therapy Network Occupational Therapist Past Accepting new patients

Locations

101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436

Organizations & group practices 3

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": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219017600000",
    "number": "1831345248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 COURT OF THE ROYAL ARMS",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466374837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52654 N IRONWOOD RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "46637",
            "telephone_number": "574-277-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PO",
        "first_name": "CHERLYN",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "3104312A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.