Individual provider Active NPI

Sally K Hughes

  • Physical Medicine & Rehabilitation Physician
  • Indianapolis, IN
National Provider Identifier
1124540125
Registry record updated Jul 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
05002242A Issued in IN
Practice address
9011 N Meridian St Ste 112
Indianapolis, IN 46260-2399
Phone
(317) 571-0017
Fax
(317) 571-1555
NPI assigned
Jul 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 05002242A IN Primary

Addresses

Primary practice location

9011 N Meridian St Ste 112
Indianapolis, IN 46260-2399

Mailing address

9011 N Meridian St Ste 112
Indianapolis, IN 46260-2399
Phone (317) 571-0017

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201006000829 IN Practitioner - Physical Therapist in Private Practice 3476972704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, 1,992 clinicians

Practice addresses (Care Compare)

3316 E Market St
Logansport, IN 46947-2296
Phone (574) 601-3100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings, Inc. Current Accepting new patients
Select Physical Therapy Holdings, Inc. CurrentSince Aug 1, 2020 Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Aug 1, 2020 Accepting new patients

Locations

9011 N Meridian St
Ste 112
Indianapolis, IN 46260
Phone (317) 571-0017

3316 E Market St
Logansport, IN 46947
Phone (574) 601-3100

Organizations & group practices 3

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": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499731200000",
    "number": "1124540125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9011 N MERIDIAN ST STE 112",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602399",
            "telephone_number": "317-571-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9011 N MERIDIAN ST STE 112",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602399",
            "telephone_number": "317-571-0017",
            "fax_number": "317-571-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "SALLY",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2017-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IN",
            "license": "05002242A",
            "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 Jul 11, 2017; 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.