Active NPI
Johnna Leanne Targett, PT
- Physical Therapist
- Terre Haute, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05002839A
- Practice address
- 1450 E Crossing Blvd
Terre Haute, IN 47802-5316 - Phone
- (812) 299-9900
- Fax
- (812) 299-9902
- NPI assigned
- Apr 15, 2010
- Last updated
- Apr 15, 2010
- Sex
- Female
- 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 | 05002839A | IN | Primary |
Addresses
Primary practice location
1450 E Crossing Blvd
Terre Haute, IN 47802-5316
Mailing address
1450 E Crossing Blvd
Terre Haute, IN 47802-5316
Phone (812) 299-9900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2800 Desplaines Ave
North Riverside, IL 60546-1851
Phone (708) 443-4217
3461 Saint Marys Rd
West Terre Haute, IN 47885-9683
Phone (812) 917-5618
3607 Heirloom Dr
Bloomington, IN 47401-5491
Phone (812) 220-4799
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05002839A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Health Care Management LLC | Physical Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Physical Therapist | Current | Accepting new patients |
| Legacy Healthcare Services, Inc. | Physical Therapist | Current | Accepting new patients |
| Comprehensive Therapeutics LTD | Physical Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| Comprehensive Therapeutics LTD | Physical Therapist | Current | Accepting new patients |
| Creative Health Care Management LLC | Physical Therapist | Current | Accepting new patients |
Locations
1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446
2800 Desplaines Ave
Riverside, IL 60546
Phone (708) 443-4217
300 E Washington Blvd
Fort Wayne, IN 46802
Phone (260) 422-5511
7125 Hanna St
Fort Wayne, IN 46816
Phone (260) 420-0332
10 S 9th St
Ste 4
Noblesville, IN 46060
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (919) 861-2441
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Merrillville, IN
- NPI 1053833657
-
- Physical Therapist
- Kokomo, IN
- NPI 1518069913
-
- Physical Therapist
- North Riverside, IL
- NPI 1699094102
-
dba Vertis Therapy
- Physical Therapist
- Fishers, IN
- NPI 1902350457
-
- Physical Therapist
- Lagrange, GA
- NPI 1881458354
-
dba Vertis Therapy
- Physical Therapist
- Kansas City, KS
- NPI 1033866975
-
- Physical Therapist
- Independence, MO
- NPI 1871072462
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271289600000",
"number": "1184940181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 E CROSSING BLVD",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478025316",
"telephone_number": "812-299-9900",
"fax_number": "812-299-9902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 E CROSSING BLVD",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478025316",
"telephone_number": "812-299-9900",
"fax_number": "812-299-9902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARGETT",
"first_name": "JOHNNA",
"middle_name": "LEANNE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-15",
"last_updated": "2010-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05002839A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.