Active NPI
Tonja F Foster, PT
- Physical Therapist
- Georgetown, IN
National Provider Identifier
1164553004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05002301A
- Practice address
- 3108 Brazil Lake Pkwy
Georgetown, IN 47122-8602 - Phone
- (502) 741-7750
- Fax
- (812) 923-6060
- NPI assigned
- Mar 9, 2007
- Last updated
- Jul 8, 2007
- 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 | 05002301A | IN | Primary |
Addresses
Primary practice location
3108 Brazil Lake Pkwy
Georgetown, IN 47122-8602
Mailing address
3108 Brazil Lake Pkwy
Georgetown, IN 47122-8602
Phone (502) 741-7750
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 |
|---|---|---|---|
| 05002301A | IN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164553004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3108 BRAZIL LAKE PKWY",
"city": "GEORGETOWN",
"state": "IN",
"postal_code": "471228602",
"telephone_number": "502-741-7750",
"fax_number": "812-923-6060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3108 BRAZIL LAKE PKWY",
"city": "GEORGETOWN",
"state": "IN",
"postal_code": "471228602",
"telephone_number": "502-741-7750",
"fax_number": "812-923-6060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "TONJA",
"middle_name": "F",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05002301A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Georgetown, IN
- Ian Bradley Emerson, DMD
- Richard L Emerson, DDS
- Victoria S Evans, OTR L
- Rachel Michelle Eve
- Floyd Memorial Hospital and Health Services (Floyd Memorial Family Medicine)
- Haley Brooke Funkhouser
- Georgetown Dental (Cherie Y. Sedwick, DDS)
- Georgetown Township Fire Protection District
- Ashley Renee Giles, ARNP
- Anne Grantz
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.