Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jenna L Thacker, OT

Individual provider Occupational Therapist · NPI 1689929614

Jenna L Thacker, OT is an Occupational Therapist in Private Practice in Evansville, Indiana. Qualified in 2012, 14 years ago. Practices with Prorehab Inc, a 81-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
14
Licensed in
IN
In the registry since
2012
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

225 Crosslake Dr
Evansville, IN 47715-8198
Phone: (812) 471-6677
Fax: (812) 474-2296
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 31005322A (IN)

Record details

NPI number1689929614
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorNo
NPI enumeratedJuly 16, 2012
Last updated in NPPESJuly 8, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Prorehab Inc — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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