Active NPI
Jairus Michael Sturgeon, MSOTRL
- Occupational Therapist
- Indianapolis, IN
National Provider Identifier
1952716912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31005693A
- Practice address
- 6239 S East St
Indianapolis, IN 46227-2090 - Phone
- (269) 599-2025
- NPI assigned
- Jun 27, 2014
- Last updated
- Jun 27, 2014
- Sex
- Male
- 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 | 31005693A | IN | Primary |
Addresses
Primary practice location
6239 S East St
Indianapolis, IN 46227-2090
Mailing address
5537 Fjord Dr Apt E
Indianapolis, IN 46250-1100
Phone (269) 599-2025
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31005693A | IN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403827200000",
"number": "1952716912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5537 FJORD DR APT E",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462501100",
"telephone_number": "269-599-2025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6239 S EAST ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462272090",
"telephone_number": "269-599-2025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STURGEON",
"first_name": "JAIRUS",
"middle_name": "MICHAEL",
"credential": "MSOTRL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-27",
"last_updated": "2014-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31005693A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jun 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.