Individual provider Active NPI

Senthil V. Mukunthan, P.T.

  • Physical Therapist
  • Indianapolis, IN
National Provider Identifier
1114042504
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05003375A Issued in IN
Practice address
8051 S Emerson Ave Ste 100
Indianapolis, IN 46237-8631
Phone
(317) 528-8111
Fax
(317) 528-8065
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 05003375A IN Primary

Addresses

Primary practice location

8051 S Emerson Ave Ste 100
Indianapolis, IN 46237-8631

Mailing address

8051 S Emerson Ave Ste 100
Indianapolis, IN 46237-8631
Phone (317) 528-8111

Other practice location 1

6920 Gatwick Dr
Suite 100
Indianapolis, IN 46241-9504
Phone (615) 778-4066

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
05003375AINMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1114042504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8051 S EMERSON AVE STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378631",
            "telephone_number": "317-528-8111",
            "fax_number": "317-528-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8051 S EMERSON AVE STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378631",
            "telephone_number": "317-528-8111",
            "fax_number": "317-528-8065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6920 Gatwick Dr",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462419504",
            "country_code": "US",
            "telephone_number": "615-778-4066",
            "fax_number": "615-778-9114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUKUNTHAN",
        "first_name": "SENTHIL",
        "middle_name": "V.",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05003375A",
            "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 Jul 21, 2022; 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.