NPIMap

Organization Active NPI

Deaconess Women'S Hospital of Southern in, LLC

  • Pediatric Physical Therapist
  • Newburgh, IN
National Provider Identifier
1023233137
Registry record updated Jun 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
05008176A Issued in IN
Legal business name
DEACONESS WOMEN'S HOSPITAL OF SOUTHERN IN, LLC
Practice address
4199 Gateway Blvd,
Suite 3800
Newburgh, IN 47630-8940
Phone
(812) 842-2820
Fax
(812) 842-4226
NPI assigned
Apr 16, 2007
Organization subpart
Yes
Parent organization
DEACONESS WOMEN'S HOSPITAL OF SOUTHERN INDIANA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 20, 2011

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

Authorized official

Name
Christina S Cady, PT
Title
Controller
Phone
(812) 842-4263

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 11-002855-1 IN
Pediatric Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251P0200X 05008176A IN Primary

Addresses

Primary practice location

4199 Gateway Blvd,
Suite 3800
Newburgh, IN 47630-8940

Mailing address

P.O. Box 637276
Cincinnati, OH 45263-7276
Phone (812) 842-2820

National Provider Directory

National Provider Directory
Tax ID family
Deaconess Women'S Hospital of Southern Indiana9 organizations share this tax ID, including this one
Part of
Deaconess Women'S Hospital of Southern Indiana

Other organizations with this tax ID 8

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

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308528000000",
    "number": "1023233137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 637276",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452637276",
            "telephone_number": "812-842-2820",
            "fax_number": "812-842-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4199 GATEWAY BLVD,",
            "address_2": "SUITE 3800",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308940",
            "telephone_number": "812-842-2820",
            "fax_number": "812-842-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEACONESS WOMEN'S HOSPITAL OF SOUTHERN IN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEACONESS WOMEN'S HOSPITAL OF SOUTHERN INDIANA, LLC",
        "enumeration_date": "2007-04-16",
        "last_updated": "2011-06-20",
        "status": "A",
        "authorized_official_last_name": "CADY",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "812-842-4263",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "11-002855-1",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "IN",
            "license": "05008176A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.