Active NPI
Sheila Angub
- Physical Therapist
- Dale, IN
National Provider Identifier
1124423447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05010143A
- Practice address
- 404 W Willow Rd
Dale, IN 47523-8947 - Phone
- (812) 937-4489
- Fax
- (812) 937-7101
- NPI assigned
- Oct 29, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05010143A | IN | Primary |
Addresses
Primary practice location
404 W Willow Rd
Dale, IN 47523-8947
Mailing address
404 W Willow Rd
Dale, IN 47523-8947
Phone (812) 937-4489
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
| License | State | Type | Specialty |
|---|---|---|---|
| 05010143A | IN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414540800000",
"number": "1124423447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 W WILLOW RD",
"city": "DALE",
"state": "IN",
"postal_code": "475238947",
"telephone_number": "812-937-4489",
"fax_number": "812-937-7101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 W WILLOW RD",
"city": "DALE",
"state": "IN",
"postal_code": "475238947",
"telephone_number": "812-937-4489",
"fax_number": "812-937-7101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGUB",
"first_name": "SHEILA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-29",
"last_updated": "2014-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05010143A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dale, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.