Individual provider Active NPI

Elise Vergara, PT

  • Physical Therapist
  • Zionsville, IN
National Provider Identifier
1033770037
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05011157A Issued in IN
Practice address
10895 N Michigan Rd Ste 160
Zionsville, IN 46077-0149
Phone
(317) 399-5491
NPI assigned
Jun 21, 2019
Last updated
Aug 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05011157A IN Primary

Addresses

Primary practice location

10895 N Michigan Rd Ste 160
Zionsville, IN 46077-0149

Mailing address

10895 N Michigan Rd Ste 160
Zionsville, IN 46077-0149

Other practice location 1

8890 E 116th St Ste 130
Fishers, IN 46038-2856
Phone (317) 621-6740

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Hospital & Health Care Center, Inc. PastSince Aug 17, 2025 Accepting new patients
St. Vincent Hospital & Health Care Center, Inc. Physical Therapist PastSince Aug 17, 2025 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1033770037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10895 N MICHIGAN RD STE 160",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460770149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10895 N MICHIGAN RD STE 160",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460770149",
            "telephone_number": "317-399-5491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8890 E 116th St Ste 130",
            "address_purpose": "LOCATION",
            "city": "Fishers",
            "state": "IN",
            "postal_code": "460382856",
            "country_code": "US",
            "telephone_number": "317-621-6740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERGARA",
        "first_name": "ELISE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05011157A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zionsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.