Individual provider Active NPI

Hannah Perfitt, OTR/L

  • Occupational Therapist
  • Indianapolis, IN
National Provider Identifier
1952921777
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31007057A Issued in IN
Practice address
911 E 86TH St Ste 103
Indianapolis, IN 46240-1840
Phone
(812) 267-2841
NPI assigned
Apr 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056013460 IL
Occupational Therapist 225X00000X 31007057A IN Primary

Addresses

Primary practice location

911 E 86TH St Ste 103
Indianapolis, IN 46240-1840

Mailing address

911 E 86TH St Ste 103
Indianapolis, IN 46240-1840

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240723003217 IN Practitioner - Occupational Therapist in Private Practice 3779904198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
My Wellness Team LLCGroup PAC ID 5890142145, 41 clinicians

Practice addresses (Care Compare)

6311 W 900
My 360 Wellness
McCordsville, IN 46055-5524
Phone (866) 360-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31007057AINMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
My Wellness Team LLC Occupational Therapist CurrentSince Jul 15, 2024 Accepting new patients

Locations

4411 Park Place Dr
Fort Wayne, IN 46845
Phone (260) 205-8451

911 E 86th St
Ste 103
Indianapolis, IN 46240
Phone (812) 267-2841

6311 W 900 N
#360
McCordsville, IN 46055

Organizations & group practices 1

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": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1952921777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 E 86TH ST STE 103",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 E 86TH ST STE 103",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401840",
            "telephone_number": "812-267-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERFITT",
        "first_name": "HANNAH",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-22",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056013460",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31007057A",
            "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 Jul 12, 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.