Individual provider Active NPI

Courtney Bible, PT

  • Physical Therapist
  • Portland, IN
National Provider Identifier
1124536156
Registry record updated Jan 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
111 W North St
Portland, IN 47371-1153
Phone
(260) 726-6828
NPI assigned
Jan 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2018

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 Primary

Addresses

Primary practice location

111 W North St
Portland, IN 47371-1153

Mailing address

111 W North St
Portland, IN 47371-1153
Phone (260) 726-6828

Other names 1

  • Courtney Clevenger Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180131003041 IN Practitioner - Physical Therapist in Private Practice 1850651340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reid Physician Associates IncGroup PAC ID 6406910769, 427 clinicians

Practice addresses (Care Compare)

11051 State Rd
101 Suite D
Brookville, IN 47012-0020
Phone (765) 647-7669

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reid Physician Associates, Inc. CurrentSince Sep 21, 2024 Accepting new patients
Reid Physician Associates, Inc CurrentSince Sep 21, 2024 Accepting new patients

Locations

11051 State Road 101
Ste D
Brookville, IN 47012
Phone (765) 647-7669

1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000

386 Symmes Center Dr
Ste 4
Winchester, IN 47394
Phone (765) 584-6320

Organizations & group practices 2

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": "1515628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515628800000",
    "number": "1124536156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W NORTH ST",
            "city": "PORTLAND",
            "state": "IN",
            "postal_code": "473711153",
            "telephone_number": "260-726-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W NORTH ST",
            "city": "PORTLAND",
            "state": "IN",
            "postal_code": "473711153",
            "telephone_number": "260-726-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIBLE",
        "first_name": "COURTNEY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "CLEVENGER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; 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.