Active NPI
Jasmine Dantzler
- Physical Therapist
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05015650A
- Practice address
- 415 Crosslake Dr Ste B
Evansville, IN 47715-8272 - Phone
- (812) 476-0409
- Fax
- (812) 476-1016
- NPI assigned
- Aug 6, 2024
- Last updated
- Aug 6, 2024
- 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 | 05015650A | IN | Primary |
Addresses
Primary practice location
415 Crosslake Dr Ste B
Evansville, IN 47715-8272
Mailing address
1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Phone (726) 202-3039
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, MD, DC
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
415 Crosslake Dr
Suite B
Evansville, IN 47715-8263
Phone (812) 476-0409
9315 Largo Dr W
Suite 100
Upper Marlboro, MD 20774-4749
Phone (301) 798-4838
983 Waugh Chapel Way
Suite Ab
Gambrills, MD 21054-1261
Phone (301) 798-4838
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30631 | MD | MD | Clinical Social Worker |
| 05015650A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-State Orthopaedic Surgeons, Inc. | Current | Accepting new patients | |
| Orthopaedics-Indianapolis, Inc | Current | Accepting new patients | |
| Rehab 2 Perform LLC | Physical Therapist | Current | Accepting new patients |
| Rehab 2 Perform LLC | Physical Therapist | Current | Accepting new patients |
| Orthopaedics-Indianapolis, Inc | Current | Accepting new patients | |
| Orthopaedics-Indianapolis, Inc | Physical Therapist | Current | Accepting new patients |
| Rehab 2 Perform LLC | Physical Therapist | Current | Accepting new patients |
| Tri-State Orthopaedic Surgeons, Inc. | Current | Accepting new patients | |
| Tri-State Orthopaedic Surgeons, Inc. | Physical Therapist | Current | Accepting new patients |
| Prorehab Inc | Physical Therapist | Current | Accepting new patients |
| Prorehab Inc | Physical Therapist | Current | Accepting new patients |
Locations
3070 Warrick Dr
Boonville, IN 47601
Phone (812) 431-0517
225 Crosslake Dr
Evansville, IN 47715
Phone (812) 471-6677
415 Crosslake Dr
Ste B
Evansville, IN 47715
Phone (812) 476-0764
4659 N 1st Ave
Evansville, IN 47710
Phone (812) 759-3001
5625 Pearl Dr
Ste 100
Evansville, IN 47712
Phone (812) 759-7493
5625 Pearl Dr
Ste 101
Evansville, IN 47712
Phone (812) 474-3800
75 Industrial Park Rd
Ste D
Ferdinand, IN 47532
Phone (502) 882-9379
10294 S 150 E
Haubstadt, IN 47639
Phone (812) 768-5207
8450 Northwest Blvd
Indianapolis, IN 46278
8887 High Pointe Dr
Ste E
Newburgh, IN 47630
Phone (812) 759-7464
1952 S State Road 57
Oakland City, IN 47660
Phone (812) 999-3070
826 N State Road 161
Ste B
Rockport, IN 47635
Phone (812) 627-7007
2121 Willow St
Vincennes, IN 47591
Phone (812) 882-1141
1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039
1750 Forest Dr
Ste 145
Annapolis, MD 21401
Phone (301) 381-0738
1341 Hughes Ford Rd
Ste 104
Frederick, MD 21701
Phone (301) 450-8038
983 Waugh Chapel Way
Ste A
Gambrills, MD 21054
983 Waugh Chapel Way
Ste Ab
Gambrills, MD 21054
Phone (301) 603-3008
20501 Seneca Meadows Pkwy
Ste 100
Germantown, MD 20876
Phone (240) 608-0986
9315 Largo Dr W
Ste 100
Upper Marlboro, MD 20774
Organizations & group practices 11
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.
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- Physical Therapist
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Physical Therapist
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- Orthopaedic Surgery Physician
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-
dba Orthoindy
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- NPI 1285433953
-
dba Orthoindy - Lafayette
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- Lafayette, IN
- NPI 1316210487
-
- Durable Medical Equipment & Medical Supplies
- Vincennes, IN
- NPI 1841014933
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Vincennes, IN
- NPI 1699414961
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- Physical Therapist
- Evansville, IN
- NPI 1730357237
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- Physical Therapist
- Columbia, MD
- NPI 1295618692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722902400000",
"number": "1205666161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 LYNDON FARM CT STE 300",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402235005",
"telephone_number": "726-202-3039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 CROSSLAKE DR STE B",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477158272",
"telephone_number": "812-476-0409",
"fax_number": "812-476-1016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANTZLER",
"first_name": "JASMINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-06",
"last_updated": "2024-08-06",
"certification_date": "2024-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05015650A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.