Active NPI
Orthopedic Occupational Therapy LLC
- Occupational Therapist
- Fort Wayne, IN
National Provider Identifier
1831771724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- ORTHOPEDIC OCCUPATIONAL THERAPY LLC
- Practice address
- 6408 Constitution Dr
Fort Wayne, IN 46804-1558 - Phone
- (260) 433-1967
- Fax
- (260) 459-0282
- NPI assigned
- Apr 21, 2021
- Last updated
- Apr 27, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michelle H Mays, OTD, OTR, CHT
- Title
- Ceo
- Phone
- (260) 433-1967
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary | ||
| Ergonomics Occupational Therapist | 225XE1200X |
Addresses
Primary practice location
6408 Constitution Dr
Fort Wayne, IN 46804-1558
Mailing address
662 Chadings Dr
Roanoke, IN 46783-8875
Phone (260) 433-1967
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Occupational Therapist
- Fort Wayne, IN
- NPI 1679758510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618963200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619481600000",
"number": "1831771724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "662 CHADINGS DR",
"city": "ROANOKE",
"state": "IN",
"postal_code": "467838875",
"telephone_number": "260-433-1967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6408 CONSTITUTION DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468041558",
"telephone_number": "260-433-1967",
"fax_number": "260-459-0282"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOPEDIC OCCUPATIONAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-21",
"last_updated": "2021-04-27",
"certification_date": "2021-04-27",
"status": "A",
"authorized_official_last_name": "MAYS",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "260-433-1967",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OTD, OTR, CHT"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225XE1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Ergonomics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.