Active NPI
Noah Paul Gausman, DPT
- Physical Therapist
- Indianapolis, IN
National Provider Identifier
1215507694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05015605A
- Practice address
- 8830 S Meridian St Ste 215
Indianapolis, IN 46217-5029 - Phone
- (317) 865-6818
- NPI assigned
- Jun 29, 2021
- 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 | 05015605A | IN | Primary |
Addresses
Primary practice location
8830 S Meridian St Ste 215
Indianapolis, IN 46217-5029
Mailing address
3210 Pavetto LN
Indianapolis, IN 46203-6512
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05015605A | IN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1215507694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3210 PAVETTO LN",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462036512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8830 S MERIDIAN ST STE 215",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462175029",
"telephone_number": "317-865-6818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAUSMAN",
"first_name": "NOAH",
"middle_name": "PAUL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-29",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05015605A",
"primary": true
}
],
"identifiers": [],
"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 Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.