Orthopaedics and Sports Physical Therapy of Indiana, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05001510A Issued in IN

Legal business name

ORTHOPAEDICS AND SPORTS PHYSICAL THERAPY OF INDIANA, INC.

Practice address

55 Boone Village
Zionsville, IN 46077

Phone

(317) 873-2033

Fax

(317) 873-8934

NPI assigned

Sep 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elaine Ritter MorrisonNPI 1922123827

Title

President/Ceo

Phone

(317) 873-2033

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Zionsville Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Tax ID family

Orthopaedic and Sports Physical Therapy of Indiana Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Orthopaedic and Sports Physical Therapy of Indiana, Inc.

  • Specialist
  • Zionsville, IN
  • NPI 1063813566
  NPD tax ID

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elaine Ritter Morrison, P.T.

  • Physical Therapist
  • Zionsville, IN
  • NPI 1922123827
  Medicare reassignment NPD Authorized official
• Marissa C. Barbee, DPT

  • Physical Therapist
  • Westerville, OH
  • NPI 1982010658

  IN

  Medicare reassignment NPD
• Caitlin Elizabeth Hathaway, PT, DPT

  • Physical Therapist
  • Zionsville, IN
  • NPI 1891450938
  NPD
• Ann Marie Eessalu, PT

  • Physical Therapist
  • Zionsville, IN
  • NPI 1982892097
  NPD (past)
• Joan Essenmacher, DPT, MS,PT,OCS

  • Physical Therapist
  • Zionsville, IN
  • NPI 1316184856
  NPD (past)
• Katherine McLelland Kane, PT, DPT

  • Physical Therapist
  • West Lafayette, IN
  • NPI 1952840266
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1003913476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BOONE VILLAGE",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "46077",
            "telephone_number": "317-873-2033",
            "fax_number": "317-873-8934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 BOONE VILLAGE",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "46077",
            "telephone_number": "317-873-2033",
            "fax_number": "317-873-8934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDICS AND SPORTS PHYSICAL THERAPY OF INDIANA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-03-10",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "RITTER",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "317-873-2033"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05001510A",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05002186A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05007146A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "174215",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200316810A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zionsville Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Zionsville Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Zionsville, IN
• Providers in Zionsville, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.