Active NPI
Michael Cunningham
- Physical Therapist
- Indianapolis, IN
National Provider Identifier
1205913316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1030 E County Line Rd Ste A2
Indianapolis, IN 46227-2933 - Phone
- (317) 887-1121
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
1030 E County Line Rd Ste A2
Indianapolis, IN 46227-2933
Mailing address
7613 Shannon Lakes Way
Indianapolis, IN 46217-7443
Phone (317) 859-9673
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05002328A | Other | IN | LICENSE# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170828003440 | IN | Practitioner - Physical Therapist in Private Practice | 3971591009 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 83.79 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 30.97
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy on Wheels, Inc. | Physical Therapist | Current | Accepting new patients |
| Select Medical Rehabilitation Clinics Inc | Past | Accepting new patients | |
| Back to Health LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Rehabilitation Clinic/Center
- Greenwood, IN
- NPI 1932654985
IN, Physical Therapist
-
- Chiropractor
- Indianapolis, IN
- NPI 1154511947
-
- Rehabilitation Clinic/Center
- Portage, IN
- NPI 1225033202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205913316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7613 SHANNON LAKES WAY",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462177443",
"telephone_number": "317-859-9673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 E COUNTY LINE RD STE A2",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462272933",
"telephone_number": "317-887-1121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE#",
"identifier": "05002328A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
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.
- 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.