Active NPI
Gary Mohler, PT
- Physical Therapist
- Greenfield, IN
National Provider Identifier
1013258417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05002069A
- Practice address
- 628 N Meridian Rd
Greenfield, IN 46140-2735 - Phone
- (317) 462-7067
- NPI assigned
- Mar 9, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05002069A | IN | Primary |
Addresses
Primary practice location
628 N Meridian Rd
Greenfield, IN 46140-2735
Mailing address
303 N Hurstbourne Pkwy Ste 200
Louisville, KY 40222-5158
Phone (919) 562-8924
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05002069A | IN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362787200000",
"number": "1013258417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 N HURSTBOURNE PKWY STE 200",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402225158",
"telephone_number": "919-562-8924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "628 N MERIDIAN RD",
"city": "GREENFIELD",
"state": "IN",
"postal_code": "461402735",
"telephone_number": "317-462-7067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHLER",
"first_name": "GARY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-09",
"last_updated": "2013-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05002069A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenfield, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.