Active NPI
Robert Tank, PT, ATC, MA
- Physical Therapist
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05001580A
- Practice address
- 4421 N 1St Ave
Evansville, IN 47710-3621 - Phone
- (812) 759-3001
- Fax
- (812) 401-9013
- NPI assigned
- Dec 6, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05001580A | IN | Primary |
| Physical Therapist | 225100000X | 005221 | KY |
Addresses
Primary practice location
4421 N 1St Ave
Evansville, IN 47710-3621
Mailing address
7300 E Indiana St
Ste 102
Evansville, IN 47715-2794
Phone (812) 476-0409
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000272141 | Other | IN | BLUE CROSS BLUE SHIELD |
| 200829440 | Medicaid | IN | |
| P00019865 | Other | IN | MEDICARE RAILROAD |
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, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
225 Crosslake Dr
Evansville, IN 47715-8198
Phone (812) 477-1558
415 Crosslake Dr
Suite B
Evansville, IN 47715-8263
Phone (812) 476-0409
Merit-based Incentive Payment System (MIPS)
- Final score
- 66.6 of 100
- Quality
- 60.71
- Promoting interoperability
- 33
- Improvement activities
- 40
- Cost
- 83.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005221 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedics-Indianapolis, Inc | Current | Accepting new patients | |
| Orthopaedics-Indianapolis, Inc | Current | Accepting new patients | |
| Orthopaedics-Indianapolis, Inc | Physical Therapist | Current | Accepting new patients |
| Prorehab Inc | Physical Therapist | Current | Accepting new patients |
| Prorehab Inc | Physical Therapist | Current | Accepting new patients |
| Tri-State Orthopaedic Surgeons, Inc. | Current | Accepting new patients | |
| Tri-State Orthopaedic Surgeons, Inc. | Current | Accepting new patients | |
| Prorehab, Inc | Physical Therapist | Past | Accepting new patients |
Locations
7300 E Indiana St
Ste 102
Evansville, IN 47715
Phone (812) 759-7451
533 W Columbia St
Evansville, IN 47710
Phone (812) 450-8350
5625 Pearl Dr
Ste 101
Evansville, IN 47712
Phone (812) 474-3800
4659 N 1st Ave
Evansville, IN 47710
Phone (812) 759-3001
415 Crosslake Dr
Ste B
Evansville, IN 47715
Phone (812) 476-0764
4421 N 1st Ave
Evansville, IN 47710
Phone (812) 759-3001
225 Crosslake Dr
Evansville, IN 47715
Phone (812) 471-6677
8450 Northwest Blvd
Indianapolis, IN 46278
8887 High Pointe Dr
Ste E
Newburgh, IN 47630
Phone (812) 759-7464
2121 Willow St
Vincennes, IN 47591
Phone (812) 882-1141
Interoperability endpoints
- referral1@prorehab-north.direct.kno2fy.com
Organizations & group practices 8
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.
-
- Orthopaedic Surgery Physician
- Indianapolis, IN
- NPI 1336252451
Physical Therapist
-
- Physical Therapist
- Evansville, IN
- NPI 1770565509
-
- Orthopaedic Surgery Physician
- Evansville, IN
- NPI 1073501003
-
- Orthopaedic Surgery Physician
- Westfield, IN
- NPI 1013371277
-
- Orthopaedic Surgery Physician
- Terre Haute, IN
- NPI 1285433953
-
- Durable Medical Equipment & Medical Supplies
- Vincennes, IN
- NPI 1841014933
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Vincennes, IN
- NPI 1699414961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297123200000",
"number": "1124002795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7300 E INDIANA ST",
"address_2": "STE 102",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477152794",
"telephone_number": "812-476-0409",
"fax_number": "812-476-1016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4421 N 1ST AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477103621",
"telephone_number": "812-759-3001",
"fax_number": "812-401-9013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANK",
"first_name": "ROBERT",
"credential": "PT, ATC, MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-06",
"last_updated": "2011-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05001580A",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "005221",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000000272141",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200829440",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00019865",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.