Organization Active NPI

Right Path Physical Therapy and Performance Academy LLC

  • Physical Therapy Clinic/Center
  • Kokomo, IN
National Provider Identifier
1134859176
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
RIGHT PATH PHYSICAL THERAPY AND PERFORMANCE ACADEMY LLC
Practice address
1558 E Boulevard Ste E
Kokomo, IN 46902-2587
Phone
(765) 432-3066
NPI assigned
Jun 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Authorized official

Name
Abbee Ranae Summers, PTANPI 1477799336
Title
Co-Owner
Phone
(765) 432-3066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1558 E Boulevard Ste E
Kokomo, IN 46902-2587

Mailing address

7528 E 300 S
Kokomo, IN 46902-9395
Phone (765) 432-3066

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221201001085 IN Part B Supplier - Clinic/Group Practice 0648648261 Receives reassigned benefits from 5 practitioners
Practice locations: Kokomo, IN

National Provider Directory

National Provider Directory

Locations

1558 E Boulevard
Ste E
Kokomo, IN 46902
Phone (765) 865-8705

1558 E Boulevard
Kokomo, IN 46902
Phone (765) 252-0530

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": "1655078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655078400000",
    "number": "1134859176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7528 E 300 S",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469029395",
            "telephone_number": "765-432-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1558 E BOULEVARD STE E",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469022587",
            "telephone_number": "765-432-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIGHT PATH PHYSICAL THERAPY AND PERFORMANCE ACADEMY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "ABBEE",
        "authorized_official_middle_name": "RANAE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "765-432-3066",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.