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
Mailing address7300 E Indiana St, Suite 102, Evansville, IN 47715-2794

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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