Individual provider Active NPI

Robert Tank, PT, ATC, MA

  • Physical Therapist
  • Evansville, IN
National Provider Identifier
1124002795
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05001580A Issued in IN
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

Updated by the provider on Feb 8, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000272141OtherINBLUE CROSS BLUE SHIELD
200829440MedicaidIN
P00019865OtherINMEDICARE RAILROAD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040708000868 IN Practitioner - Physical Therapist in Private Practice 2365335833 Reassigns benefits to 3 organizations

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
Orthopaedics-Indianapolis IncGroup PAC ID 7416860663, 357 clinicians
Prorehab IncGroup PAC ID 1254317217, 81 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
005221KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedics-Indianapolis, Inc CurrentSince Jul 1, 2025 Accepting new patients
Orthopaedics-Indianapolis, Inc CurrentSince Jul 1, 2025 Accepting new patients
Orthopaedics-Indianapolis, Inc Physical Therapist Current Accepting new patients
Prorehab Inc Physical Therapist CurrentSince Nov 1, 2008 Accepting new patients
Prorehab Inc Physical Therapist CurrentSince Apr 11, 2003 Accepting new patients
Tri-State Orthopaedic Surgeons, Inc. CurrentSince Nov 23, 2010 Accepting new patients
Tri-State Orthopaedic Surgeons, Inc. CurrentSince Nov 23, 2010 Accepting new patients
Prorehab, Inc Physical Therapist PastSince Mar 30, 2009 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.