Active NPI
Kyra Jo Thurston, OT
- Occupational Therapist
- Beech Grove, IN
National Provider Identifier
1851930143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31006912A
- Practice address
- 501 N 17TH Ave
Beech Grove, IN 46107-1169 - Phone
- (317) 219-3889
- Fax
- (317) 324-3965
- NPI assigned
- Jan 3, 2020
- Last updated
- Jan 7, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31006912A | IN | Primary |
Addresses
Primary practice location
501 N 17TH Ave
Beech Grove, IN 46107-1169
Mailing address
PO Box 388
Dayton, OH 45409-0388
Phone (937) 294-2468
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578355200000",
"number": "1851930143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 388",
"city": "DAYTON",
"state": "OH",
"postal_code": "454090388",
"telephone_number": "937-294-2468",
"fax_number": "937-294-2394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N 17TH AVE",
"city": "BEECH GROVE",
"state": "IN",
"postal_code": "461071169",
"telephone_number": "317-219-3889",
"fax_number": "317-324-3965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THURSTON",
"first_name": "KYRA",
"middle_name": "JO",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-03",
"last_updated": "2020-01-07",
"certification_date": "2020-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31006912A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beech Grove, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.