Organization Active NPI

St. Joseph Hospital & Health Center, Inc.

Doing business as Ascension St. Vincent Kokomo

  • Physical Therapist
  • Kokomo, IN
National Provider Identifier
1023830742
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ST. JOSEPH HOSPITAL & HEALTH CENTER, INC.
Doing business as
Ascension St. Vincent Kokomo
Practice address
217 E Southway Blvd Ste 106
Kokomo, IN 46902-3577
Phone
(765) 236-8775
NPI assigned
Oct 25, 2024
Last updated
Oct 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Authorized official

Name
Brian Morris
Title
Cfo (Amg)
Phone
(317) 338-6234

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X NU
Physical Therapist 225100000X NU Primary
Physical Therapy Assistant 225200000X NU
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

217 E Southway Blvd Ste 106
Kokomo, IN 46902-3577

Mailing address

217 E Southway Blvd Ste 106
Kokomo, IN 46902-3577

Other practice location 1

20 W 5th St
Peru, IN 46970-2143
Phone (765) 472-6001

Other names 2

  • Ascension St. Vincent Kokomo Doing business as
  • Ascension Physical Therapy Other name

National Provider Directory

National Provider Directory
Tax ID family
John D Ayers MD4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

217 E Southway Blvd
Ste 106
Kokomo, IN 46902
Phone (765) 236-8775

20 W 5th St
Peru, IN 46970
Phone (765) 472-6001

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1023830742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E SOUTHWAY BLVD STE 106",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E SOUTHWAY BLVD STE 106",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023577",
            "telephone_number": "765-236-8775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 W 5th St",
            "address_purpose": "LOCATION",
            "city": "Peru",
            "state": "IN",
            "postal_code": "469702143",
            "country_code": "US",
            "telephone_number": "765-472-6001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST. JOSEPH HOSPITAL & HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CFO (AMG)",
        "authorized_official_telephone_number": "317-338-6234"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension St. Vincent Kokomo",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ascension Physical Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kokomo, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.