Active NPI
James M Gruesser, PT, OCS, CSCS
- Physical Therapist
- Carmel, IN
National Provider Identifier
1154800696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05007372A
- Practice address
- 805 W Carmel Dr
Carmel, IN 46032-5804 - Phone
- (317) 956-1260
- NPI assigned
- Aug 7, 2018
- Sex
- Male
- Sole proprietor
- No
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 | 05007372A | IN | Primary |
Addresses
Primary practice location
805 W Carmel Dr
Carmel, IN 46032-5804
Mailing address
805 W Carmel Dr
Carmel, IN 46032-5804
Phone (317) 956-1260
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 |
|---|---|---|---|
| 05007372A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana Orthopaedic Hospital, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Special Hospital
- Indianapolis, IN
- NPI 1508979683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533600000000",
"number": "1154800696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 W CARMEL DR",
"city": "CARMEL",
"state": "IN",
"postal_code": "460325804",
"telephone_number": "317-956-1260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 W CARMEL DR",
"city": "CARMEL",
"state": "IN",
"postal_code": "460325804",
"telephone_number": "317-956-1260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUESSER",
"first_name": "JAMES",
"middle_name": "M",
"credential": "PT, OCS, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-07",
"last_updated": "2018-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05007372A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.