Active NPI
Ma Perlina Basio
- Physical Therapist
- Carmel, IN
National Provider Identifier
1194122945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 027401
- Practice address
- 3791 Dolan Way
Carmel, IN 46074-8358 - Phone
- (317) 268-8525
- Fax
- (317) 268-8526
- NPI assigned
- Nov 21, 2014
- 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 | 027401 | NY | Primary |
Addresses
Primary practice location
3791 Dolan Way
Carmel, IN 46074-8358
Mailing address
3791 Dolan Way
Carmel, IN 46074-8358
Phone (317) 268-8525
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416528000000",
"number": "1194122945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3791 DOLAN WAY",
"city": "CARMEL",
"state": "IN",
"postal_code": "460748358",
"telephone_number": "317-268-8525",
"fax_number": "317-268-8526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3791 DOLAN WAY",
"city": "CARMEL",
"state": "IN",
"postal_code": "460748358",
"telephone_number": "317-268-8525",
"fax_number": "317-268-8526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASIO",
"first_name": "MA PERLINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-21",
"last_updated": "2014-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "027401",
"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 Nov 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.