IndividualActive
Thomas Richardson, COTA
NPI 1013215094 · Environmental Modification Occupational Therapy Assistant · Indianapolis, IN
Provider details
- NPI number
- 1013215094
- Entity type
- Individual
- Primary specialty
- Environmental Modification Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 32001033A (IN)
Practice location
8900 Keystone Xing Ste 600
Indianapolis, IN 46240-2131
Phone: (317) 218-0654
Mailing address
9699 N Wanda Ct
Mooresville, IN 46158-6131
Registry dates
- Enumerated
- 2011-03-01
- Last updated
- 2011-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.