Active NPI
Michelle Diane McKinney, PT
- Physical Therapist
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05006844A
- Practice address
- 7212 US 31 S
Indianapolis, IN 46227-8549 - Phone
- (317) 889-9822
- Fax
- (317) 889-6500
- NPI assigned
- Dec 7, 2011
- Last updated
- Feb 17, 2022
- 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 | 05006844A | IN | Primary |
Addresses
Primary practice location
7212 US 31 S
Indianapolis, IN 46227-8549
Mailing address
7148 Bel Moore Cir
Indianapolis, IN 46259-9666
Phone (317) 750-8792
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2141 N Dan Jones Rd
Avon, IN 46123-6023
Phone (317) 943-1837
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| Powerback Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Powerback Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
Locations
611 W County Line Rd S
Fort Wayne, IN 46814
Phone (260) 625-1445
11755 N Michigan Rd
Zionsville, IN 46077
Phone (317) 732-5958
101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436
Organizations & group practices 4
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.
-
dba Powerback Rehabilitation
- Physical Therapist
- Avon, IN
- NPI 1174275283
-
- Physical Therapist
- Merrillville, IN
- NPI 1053833657
-
- Physical Therapist
- Independence, MO
- NPI 1871072462
-
dba Powerback Rehabilitation
- Physical Therapist
- Woodbridge, VA
- NPI 1790640761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645056000000",
"number": "1043588908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7148 BEL MOORE CIR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462599666",
"telephone_number": "317-750-8792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7212 US 31 S",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462278549",
"telephone_number": "317-889-9822",
"fax_number": "317-889-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNEY",
"first_name": "MICHELLE",
"middle_name": "DIANE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-07",
"last_updated": "2022-02-17",
"certification_date": "2022-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05006844A",
"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 Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.