Individual provider Active NPI

Edward Raymond Jones Jr., PT

  • Orthopedic Physical Therapist
  • Greenwood, IN
National Provider Identifier
1063853646
Registry record updated Aug 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
05008313A Issued in IN
Practice address
3000 S State Road 135 Ste 110
Greenwood, IN 46143-9607
Phone
(317) 535-4075
Fax
(317) 535-4076
NPI assigned
Jul 11, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 05008313A IN Primary

Addresses

Primary practice location

3000 S State Road 135 Ste 110
Greenwood, IN 46143-9607

Mailing address

3000 S State Road 135 Ste 110
Greenwood, IN 46143-9607
Phone (317) 535-4075

Other names 1

  • Mr. Ed R Jones Other name

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

State licenses

LicenseStateTypeSpecialty
05008313AINMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1063853646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 S STATE ROAD 135 STE 110",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461439607",
            "telephone_number": "317-535-4075",
            "fax_number": "317-535-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 S STATE ROAD 135 STE 110",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461439607",
            "telephone_number": "317-535-4075",
            "fax_number": "317-535-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "EDWARD",
        "middle_name": "RAYMOND",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IN",
            "license": "05008313A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ED",
            "last_name": "JONES",
            "middle_name": "R",
            "prefix": "MR.",
            "credential": "MSPT, OCS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.