IndividualActive
Jessica Umholtz, COTA
NPI 1245888486 · Occupational Therapy Assistant · West Lafayette, IN
Provider details
- NPI number
- 1245888486
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 32003104A (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
307 Sagamore Pkwy W
West Lafayette, IN 47906-1500
Phone: (765) 463-2200
Fax: (765) 463-3625
Street-level locationGet directions
Mailing address
Po Box 4699
Lafayette, IN 47903-4699
Registry dates
- Enumerated
- 2019-08-30
- Last updated
- 2021-09-13
- Certified
- 2021-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.