Active NPI
Susan Jane Stoltz, PT
- Physical Therapist
- Indianapolis, IN
National Provider Identifier
1023063948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05007021A
- Practice address
- 1048 N Shadeland Ave
Indianapolis, IN 46219-3629 - Phone
- (317) 356-7800
- Fax
- (317) 356-4586
- NPI assigned
- May 23, 2006
- Sex
- Female
- 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 | 05007021A | IN | Primary |
Addresses
Primary practice location
1048 N Shadeland Ave
Indianapolis, IN 46219-3629
Mailing address
1048 N Shadeland Ave
Indianapolis, IN 46219-3629
Phone (317) 356-7800
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 |
|---|---|---|---|
| 05007021A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indianapolis Physical Therapy and Sports Medicin | Past | Accepting new patients | |
| Select Medical Rehabilitation Clinics Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- St Marys of the Woods, IN
- NPI 1750461687
-
- Rehabilitation Clinic/Center
- Portage, IN
- NPI 1225033202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1023063948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1048 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462193629",
"telephone_number": "317-356-7800",
"fax_number": "317-356-4586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1048 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462193629",
"telephone_number": "317-356-7800",
"fax_number": "317-356-4586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOLTZ",
"first_name": "SUSAN",
"middle_name": "JANE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05007021A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.