Active NPI
Amy Renae Wheeler, P.T.
- Physical Therapist
- Gary, IN
National Provider Identifier
1144513219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05005024A
- Practice address
- 900 N Shelby St
Gary, IN 46403-2276 - Phone
- (219) 979-0396
- Fax
- (219) 427-0571
- NPI assigned
- May 24, 2011
- Last updated
- May 24, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 05005024A | IN | Primary |
Addresses
Primary practice location
900 N Shelby St
Gary, IN 46403-2276
Mailing address
900 N Shelby St
Gary, IN 46403-2276
Phone (219) 979-0396
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 |
|---|---|---|---|
| 05005024A | IN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306195200000",
"number": "1144513219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 N SHELBY ST",
"city": "GARY",
"state": "IN",
"postal_code": "464032276",
"telephone_number": "219-979-0396",
"fax_number": "219-427-0571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 N SHELBY ST",
"city": "GARY",
"state": "IN",
"postal_code": "464032276",
"telephone_number": "219-979-0396",
"fax_number": "219-427-0571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "AMY",
"middle_name": "RENAE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-24",
"last_updated": "2011-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05005024A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gary, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.