Individual provider Active NPI

Jessie Salley, OTR

  • Occupational Therapist
  • Indianapolis, IN
National Provider Identifier
1851781835
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31006086A Issued in IN
Practice address
8501 Harcourt Rd
Indianapolis, IN 46260-2046
Phone
(317) 875-9105
Fax
(317) 872-6873
NPI assigned
Jan 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 31006086A IN
Occupational Therapist 225X00000X 31006086A IN Primary

Addresses

Primary practice location

8501 Harcourt Rd
Indianapolis, IN 46260-2046

Mailing address

8501 Harcourt Rd
Indianapolis, IN 46260-2046
Phone (317) 875-9105

Other names 1

  • Jessie Halle Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160505000210 IN Practitioner - Occupational Therapist in Private Practice 8325364672 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Indiana University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedics-Indianapolis IncGroup PAC ID 7416860663, 357 clinicians

Practice addresses (Care Compare)

8450 Northwest Blvd
Indianapolis, IN 46278-1381
Phone (317) 802-2000

8501 Harcourt Rd
Indianapolis, IN 46260-2046
Phone (317) 875-9105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31006086AINMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedics-Indianapolis, Inc CurrentSince Apr 1, 2025 Accepting new patients
Beltway Surgery Centers LLC Current Accepting new patients
Orthopaedics-Indianapolis, Inc Occupational Therapist CurrentSince Apr 1, 2025 Accepting new patients
Indiana University Health Ambulatory Surgery Centers, LLC Current Accepting new patients

Locations

1115 Ronald Reagan Pkwy
Ste 224
Avon, IN 46123
Phone (317) 272-1155

13914 Southeastern Pkwy
Ste 201
Fishers, IN 46037
Phone (317) 275-1999

8820 S Meridian St
Ste 235
Indianapolis, IN 46217
Phone (317) 859-1048

8501 Harcourt Rd
Indianapolis, IN 46260
Phone (317) 471-4339

8450 Northwest Blvd
Indianapolis, IN 46278

1791 W Lincoln Rd
Kokomo, IN 46902
Phone (574) 753-7600

Organizations & group practices 5

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": "1422489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1851781835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 HARCOURT RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602046",
            "telephone_number": "317-875-9105",
            "fax_number": "317-872-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 HARCOURT RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602046",
            "telephone_number": "317-875-9105",
            "fax_number": "317-872-6873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLEY",
        "first_name": "JESSIE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-29",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "IN",
            "license": "31006086A",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31006086A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSIE",
            "last_name": "HALLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.