Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Addie Lyn Jacobs, MS, OTD, OTR

Individual provider Occupational Therapist · NPI 1750087573

Dr. Addie Lyn Jacobs, MS, OTD, OTR is an Occupational Therapist in Avon, Indiana. Licensed in Indiana. Registered with an NPI since 2023.

Licensed in
IN
In the registry since
2023
What do these letters mean?
MS — Master of Science
A graduate science degree.
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

1115 Ronald Reagan Pkwy
Avon, IN 46123-6910
Phone: (317) 217-3070
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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 31006905A (IN)

Record details

NPI number1750087573
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , OTD , OTR
Sole proprietorNo
NPI enumeratedFebruary 2, 2023
Last updated in NPPESFebruary 2, 2023
Certification dateFebruary 2, 2023

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