Individual provider Active NPI

Ryan J Summitt, DPT

  • Orthopedic Physical Therapist
  • Carmel, IN
National Provider Identifier
1225430283
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
05011540A Issued in IN
Practice address
1185 W Carmel Dr
BLDG. C
Carmel, IN 46032-8706
Phone
(317) 582-8924
NPI assigned
Sep 22, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 05011540A IN Primary

Addresses

Primary practice location

1185 W Carmel Dr
BLDG. C
Carmel, IN 46032-8706

Mailing address

1185 W Carmel Dr
BLDG. C
Carmel, IN 46032-8706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150615000979 IN Practitioner - Physical Therapist in Private Practice 4284945478 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11455 N Meridian St
Suite 200
Carmel, IN 46032-1680
Phone (317) 584-5790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Physician Services Hospital and Health Care Center CurrentSince Sep 7, 2021 Accepting new patients
St Vincent Physician Services Hospital and Health Care Center CurrentSince Sep 7, 2021 Accepting new patients
St. Vincent Hospital & Health Care Center, Inc. Past Accepting new patients
Saint Vincent Physician Services, Inc. Past Accepting new patients

Locations

11455 N Meridian St
Ste 200
Carmel, IN 46032
Phone (317) 582-8180

14455 Clay Terrace Blvd
Ste B
Carmel, IN 46032
Phone (317) 415-5747

250 W 96th St
Ste 520
Indianapolis, IN 46260
Phone (317) 583-3211

8240 Naab Rd
Ste 155
Indianapolis, IN 46260
Phone (317) 338-7760

Interoperability endpoints

  • Direct secure messaging: ryan.summitt.2@7598.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1225430283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 W CARMEL DR",
            "address_2": "BLDG. C",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 W CARMEL DR",
            "address_2": "BLDG. C",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328706",
            "telephone_number": "317-582-8924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMITT",
        "first_name": "RYAN",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-22",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IN",
            "license": "05011540A",
            "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 Feb 9, 2017; 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.

Verify at the official NPI Registry.