Individual provider Active NPI

Christina Sue Fancher, P.T.

  • Physical Therapist
  • Indianapolis, IN
National Provider Identifier
1124351184
Registry record updated Sep 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05004583A Issued in IN
Practice address
7837 W 88TH St
Indianapolis, IN 46278-1157
Phone
(317) 873-6348
NPI assigned
Sep 9, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2009

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 05004583A IN Primary

Addresses

Primary practice location

7837 W 88TH St
Indianapolis, IN 46278-1157

Mailing address

7837 W 88TH St
Indianapolis, IN 46278-1157
Phone (317) 873-6348

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
05004583AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
McDonald Physical Therapy and Sports Rehabilitation Center CurrentSince Aug 17, 2025 Accepting new patients

Locations

1005 N Hickory Rd
South Bend, IN 46615
Phone (574) 233-5754

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": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252454400000",
    "number": "1124351184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7837 W 88TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781157",
            "telephone_number": "317-873-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7837 W 88TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781157",
            "telephone_number": "317-873-6348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANCHER",
        "first_name": "CHRISTINA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-09",
        "last_updated": "2009-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05004583A",
            "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 Sep 9, 2009; 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.