Individual provider Active NPI

Gregory Dean Kaucher, PT

  • Physical Therapist
  • Indianapolis, IN
National Provider Identifier
1063689032
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05007300A Issued in IN
Practice address
5214 South East Street Building D Suite 1
HTS Outpatient Therapy Services
Indianapolis, IN 46227
Phone
(800) 486-4449
Fax
(317) 780-3750
NPI assigned
May 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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 05007300A IN Primary

Addresses

Primary practice location

5214 South East Street Building D Suite 1
HTS Outpatient Therapy Services
Indianapolis, IN 46227

Mailing address

5214 South East Street
Building D Suite 1
Indianapolis, IN 46227
Phone (800) 486-4449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150624002630 IN Practitioner - Physical Therapist in Private Practice 6305157876

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05007300AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cutting Edge Physical Therapy Limited Partnership PastSince May 6, 2015 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1063689032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5214 SOUTH EAST STREET",
            "address_2": "BUILDING D SUITE 1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46227",
            "telephone_number": "800-486-4449",
            "fax_number": "317-780-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5214 SOUTH EAST STREET BUILDING D SUITE 1",
            "address_2": "HTS OUTPATIENT THERAPY SERVICES",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46227",
            "telephone_number": "800-486-4449",
            "fax_number": "317-780-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUCHER",
        "first_name": "GREGORY",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05007300A",
            "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 May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.