Active NPI
Indiana Wesleyan University
- Physical Therapist
- Marion, IN
National Provider Identifier
1154258366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- INDIANA WESLEYAN UNIVERSITY
- Practice address
- 4411 S Adams St
Marion, IN 46953-5349 - Phone
- (765) 674-4455
- NPI assigned
- May 4, 2026
- Organization subpart
- Yes
- Parent organization
- INDIANA WESLEYAN UNIVERSITY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carol Anne Hoppe
- Title
- Credentialing Specialist
- Phone
- (317) 507-2146
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X |
Addresses
Primary practice location
4411 S Adams St
Marion, IN 46953-5349
Mailing address
4411 S Adams St
Marion, IN 46953-5349
Phone (765) 674-4455
Other names 1
- The Center for Sports & Physical Therapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260616003123 | IN | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 8527530054 |
Receives reassigned benefits from 6 practitioners 1 other NPI on this enrollment Practice locations: Marion, IN; Wabash, IN |
National Provider Directory
National Provider Directory- Tax ID family
- Indiana Wesleyan University
- Part of
- Indiana Wesleyan University
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- Wabash, IN
- NPI 1316874522
-
- Student Health Clinic/Center
- Marion, IN
- NPI 1558491894
Ownership & related parties
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Practitioners 6
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": "1777852800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778112000000",
"number": "1154258366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4411 S ADAMS ST",
"city": "MARION",
"state": "IN",
"postal_code": "469535349",
"telephone_number": "765-674-4455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4411 S ADAMS ST",
"city": "MARION",
"state": "IN",
"postal_code": "469535349",
"telephone_number": "765-674-4455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDIANA WESLEYAN UNIVERSITY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "INDIANA WESLEYAN UNIVERSITY",
"enumeration_date": "2026-05-04",
"last_updated": "2026-05-07",
"certification_date": "2026-05-07",
"status": "A",
"authorized_official_last_name": "HOPPE",
"authorized_official_first_name": "CAROL",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "317-507-2146"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Center for Sports & Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Marion, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.