Theresa Elaine Floyd, COTA
Individual provider Active NPI Occupational Therapy Assistant · Macy, IN
NPI 1942732201 · NPPES record last updated Mar 28, 2017
Key facts
- NPI
- 1942732201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 32001542A (IN)
- Practice address
- 3174 SE Lakeshore Dr
Macy, IN 46951-8563 - Phone
- (765) 480-7318
- NPI assigned
- Mar 28, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32001542A | IN | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 32001542A | IN | Yes |
Addresses
Primary practice location
3174 SE Lakeshore Dr
Macy, IN 46951-8563
Mailing address
3174 SE Lakeshore Dr
Macy, IN 46951-8563
Phone (765) 480-7318
Other providers in Macy, IN
All providers in Macy, IN · Occupational Therapy Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.