Indiana Wesleyan University

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

INDIANA WESLEYAN UNIVERSITY

Doing business as

The Center for Sports & Physical Therapy

Practice address

4411 S Adams St
Marion, IN 46953-5349

Phone

(765) 674-4455

NPI assigned

May 4, 2026

Last updated

May 7, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

INDIANA WESLEYAN UNIVERSITYAs reported in NPPES

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

Addresses

Other names 1

• The Center for Sports & Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Indiana Wesleyan University

  dba The Center for Sports & Physical Therapy

  • Physical Therapist
  • Wabash, IN
  • NPI 1316874522

  O20260616003123

  Same enrollment

Tax ID family

Indiana Wesleyan University3 organizations share this tax ID, including this one

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.

• Indiana Wesleyan University

  dba The Center for Sports & Physical Therapy

  • Physical Therapist
  • Wabash, IN
  • NPI 1316874522
  NPD tax ID
• Indiana Wesleyan University

  dba Wildcat Clinic

  • Student Health Clinic/Center
  • Marion, IN
  • NPI 1558491894
  NPD tax ID

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keith William Lancaster, DPT

  • Physical Therapist
  • Wabash, IN
  • NPI 1447377304
  Medicare reassignment
• Cassidy Reust

  • Occupational Therapist
  • Marion, IN
  • NPI 1568354892
  Medicare reassignment
• Lee Martin Smith, MS,PT

  • Physical Therapist
  • Marion, IN
  • NPI 1730206681
  Medicare reassignment
• Alisha D Sweet, PT

  • Physical Therapist
  • Kokomo, IN
  • NPI 1891868170
  Medicare reassignment
• Abigail Flannery, OTR

  • Occupational Therapist
  • North Canton, OH
  • NPI 1063818185

  IN

  Medicare reassignment
• Paul Sung

  • Physical Therapist
  • Westlake, OH
  • NPI 1689903981

  IN

  Medicare reassignment

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"
        }
    ]
}

• Independent Living Solutions, LLC (Home Helpers)
• Indiana Health Centers, Inc (IHC Grant-Blackford)
• Indiana Health Centers, Inc.
• Indiana Health Centers, Inc. Pharmacy LLC (Indiana Health Centers, Inc. Pharmacy LLC - Marion)
• Indiana Hearing LLC (Miracle Ear)
• Indiana Wesleyan University (Wildcat Clinic)
• Amiee Ingram, BS, MATS
• Joyce Inskeep, LCSW
• Maria Ipo-Miller, PT
• Ireland Dental

• Physical Therapist in Marion, IN
• Providers in Marion, IN by specialty
• Physical Therapist in Indiana

• 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.

Verify at the official NPI Registry.