Healthcare Provider Details

I. General information

NPI: 1801759469
Provider Name (Legal Business Name): RACHEL LEANNE THOMPSON OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 FRANCISCAN WAY
MICHIGAN CITY IN
46360-0033
US

IV. Provider business mailing address

54781 TIMOTHY RD
NEW CARLISLE IN
46552-9622
US

V. Phone/Fax

Practice location:
  • Phone: 219-877-1738
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number31007682A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: