MEDICARE: ANN L MCPHERSON OT, CHT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	31002293A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396052353
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN L MCPHERSON OT, CHT

Provider Business Mailing Address
First Line	:	PO BOX 646601
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45264-6601
Country	:	US
Telephone Number	:	317-802-3299
Fax Number	:	317-802-2050

Provider Business Practice Location Address
First Line	:	2548 CUMBERLAND AVE
Second Line	:	STE 100
City	:	WEST LAFAYETTE
State	:	IN
Zip	:	47906-4083
Country	:	US
Telephone Number	:	765-447-4165
Fax Number	:	765-447-4168

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/10/2010
Last Update Date	:	02/10/2026

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