Individual provider Active NPI

Teresa Lynn Voegerl, PTA

  • Physical Therapy Assistant
  • Jasper, IN
National Provider Identifier
1174840169
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
06002847A Issued in IN
Practice address
600 W 13TH St Ste 200
Jasper, IN 47546-1883
Phone
(812) 482-7441
NPI assigned
Apr 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 06002847A IN Primary

Addresses

Primary practice location

600 W 13TH St Ste 200
Jasper, IN 47546-1883

Mailing address

820 3Rd Ave
Jasper, IN 47546-3604
Phone (812) 309-2301

Other practice location 1

1712 N Leland Dr
Huntingburg, IN 47542-9348
Phone (812) 683-4090

Other identifiers 1

IdentifierTypeStateIssuer
06002847AOtherINPTA LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL WebPT

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

LicenseStateTypeSpecialty
06002847AINMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel C Eby D.O. PC CurrentSince Jun 22, 2021 Accepting new patients

Locations

600 W 13th St
Ste 200
Jasper, IN 47546
Phone (812) 482-7441

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1174840169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 3RD AVE",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475463604",
            "telephone_number": "812-309-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W 13TH ST STE 200",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475461883",
            "telephone_number": "812-482-7441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1712 N Leland Dr",
            "address_purpose": "LOCATION",
            "city": "Huntingburg",
            "state": "IN",
            "postal_code": "475429348",
            "country_code": "US",
            "telephone_number": "812-683-4090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOEGERL",
        "first_name": "TERESA",
        "middle_name": "LYNN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-29",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06002847A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTA LICENSE",
            "identifier": "06002847A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "WebPT",
            "affiliation": "N",
            "address_1": "600 W 13th St Ste 200",
            "city": "Jasper",
            "state": "IN",
            "country_code": "US",
            "postal_code": "475461883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jasper, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.