JENNA L THACKER OT
NPI 1689929614
Occupational Therapist in Evansville, IN

Active since July 16, 2012Accepts Medicare Assignment
59.5/100
CMS Quality Rating
225 CROSSLAKE DR, EVANSVILLE, IN 47715(812) 471-6677(812) 474-2296 Get Directions Write a Review

NPPES record last updated: July 8, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jenna L Thacker Ot NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNA L THACKER OT (NPI 1689929614) is an individual occupational therapist in Evansville, Indiana, licensed in Indiana (31005322A) and active in the NPI registry since July 2012. She is a graduate of Other (2012).

NPPES Registry Identity

NPI1689929614
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameJENNA L THACKERCredential: OT
Location Address225 CROSSLAKE DREvansville, IN 47715-8198
Mailing Address7300 E Indiana St, Suite 102Evansville, IN 47715-2794 · (812) 476-0409 · Fax (812) 476-1016
Fax(812) 474-2296
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 16, 2012
Last NPPES UpdateJuly 8, 2014
NPI 1689929614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in IN · 31005322A
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
225 CROSSLAKE DR, Evansville, IN 47715

Other Names 1

Former Name (1)Jenna L Betulius Ot

Other Identifiers 7

Other000000783241IN · Blue Shield Blue Cross
Other000000782655IN · Blue Cross Blue Shield
Medicare UPIN198850002IN
Medicare UPIN216070001IN
Other000000782963IN · Blue Cross Blue Shield
Medicare UPIN255480001IN
Medicaid201107090IN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jenna L Thacker Ot is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800044058
PECOS Enrollment IDI20120913000618

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
77 services41 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
60 services42 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
19 services16 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

59.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality44.58
Promoting Interoperability38
Improvement Activities40
Cost72.08

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
225 CROSSLAKE DR
EVANSVILLE, IN 47715
Physical Therapist
225 CROSSLAKE DR
EVANSVILLE, IN 47715
Physical Therapy Assistant
225 CROSSLAKE DR
EVANSVILLE, IN 47715
Podiatrist (Foot & Ankle Surgery)
225 CROSSLAKE DR
EVANSVILLE, IN 47715
Physical Therapist
225 CROSSLAKE DR
EVANSVILLE, IN 47715
Physical Therapist
225 CROSSLAKE DR
EVANSVILLE, IN 47715
Physical Therapist
225 CROSSLAKE DR
EVANSVILLE, IN 47715
Registered Nurse
225 CROSSLAKE DR
EVANSVILLE, IN 47715

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenna Thacker's NPI number?

The NPI number for Jenna Thacker is 1689929614. It was assigned to this individual provider in the NPPES registry on July 16, 2012. The provider is also known as Jenna L Betulius Ot.

Where is Jenna Thacker located?

Jenna Thacker practices at 225 Crosslake Dr, Evansville, IN 47715. The listed phone number is (812) 471-6677.

What is Jenna Thacker's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Jenna Thacker enrolled in Medicare?

Yes. Jenna Thacker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jenna Thacker accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Jenna Thacker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jenna Thacker was last updated on July 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.