Active NPI
Daniel Huckstep, PT
- Physical Therapist
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05013339A
- Practice address
- 426 S Alabama St Ste 200
Indianapolis, IN 46225 - Phone
- (317) 528-6804
- NPI assigned
- Jun 17, 2019
- Last updated
- Mar 13, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 05013339A | IN | |
| Physical Therapist | 225100000X | 05013339A | IN | Primary |
Addresses
Primary practice location
426 S Alabama St Ste 200
Indianapolis, IN 46225
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other practice location 1
8111 S Emerson Ave
Indianapolis, IN 46237-8601
Phone (317) 528-8578
Other practice location 2
8111 S Emerson Ave
Indianapolis, IN 46237-8601
Phone (317) 528-8578
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dhuckstep397610@Direct.FranciscanAlliance.org | Direct |
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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15 E Market St
Indianapolis, IN 46204-3001
Phone (317) 423-0222
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05013339A | IN | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Athletico, LTD | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
Locations
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
3229 Broadway
Gary, IN 46409
Phone (219) 326-2324
15 E Market St
Indianapolis, IN 46204
Phone (317) 423-0222
1505 US Highway 41
Ste A20
Schererville, IN 46375
Phone (219) 322-5560
956 E Tournament Trl
Westfield, IN 46074
Phone (317) 399-5004
Interoperability endpoints
- dhuckstep397610@direct.franciscanalliance.org
Organizations & group practices 3
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 Athletico Physical Therapy
- Clinic/Center
- Lafayette, IN
- NPI 1053044867
Physical Therapist
-
dba Athletico Physical Therapy
- Clinic/Center
- Schererville, IN
- NPI 1689974131
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615593600000",
"number": "1053971564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-528-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "426 S ALABAMA ST STE 200",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46225",
"telephone_number": "317-528-6804"
}
],
"practiceLocations": [
{
"address_1": "8111 S Emerson Ave",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462378601",
"country_code": "US",
"telephone_number": "317-528-8578",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8111 S Emerson Ave",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462378601",
"country_code": "US",
"telephone_number": "317-528-8578",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUCKSTEP",
"first_name": "DANIEL",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-17",
"last_updated": "2021-03-13",
"certification_date": "2021-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "IN",
"license": "05013339A",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05013339A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dhuckstep397610@Direct.FranciscanAlliance.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "426 S Alabama St Ste 200",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "46225",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 13, 2021; 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.