NPIMap

Organization Active NPI

Primus Health

  • Physical Therapy Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1134534134
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
05010408A Issued in IN
Legal business name
PRIMUS HEALTH
Practice address
1550 W. 86TH St.
Indianapolis, IN 46260-2317
Phone
(317) 407-8109
NPI assigned
Jun 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Authorized official

Name
Frank Klene, DPT
Title
Owner
Phone
(317) 407-8109

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 05010408A IN Primary
Physical Therapy Clinic/Center 261QP2000X 05010406A IN

Addresses

Primary practice location

1550 W. 86TH St.
Indianapolis, IN 46260-2317

Mailing address

1550 W. 86TH St.
Indianapolis, IN 46260-2317
Phone (317) 407-8109

Other names 1

  • IROC Physical Therapy Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150106002351 IN Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6406179050 Receives reassigned benefits from 9 practitioners
Practice locations: Avon, IN; Indianapolis, IN

National Provider Directory

National Provider Directory

Locations

1550 W 86TH St
Indianapolis, IN 46260
Phone (317) 407-8109

1150 W 86th St
Indianapolis, IN 46260
Phone (317) 407-8109

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418774400000",
    "number": "1134534134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 W. 86TH ST.",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602317",
            "telephone_number": "317-407-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 W. 86TH ST.",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602317",
            "telephone_number": "317-407-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMUS HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-27",
        "last_updated": "2014-12-17",
        "status": "A",
        "authorized_official_last_name": "KLENE",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-407-8109",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IN",
            "license": "05010408A",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IN",
            "license": "05010406A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IROC Physical Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.