Individual provider Active NPI

Maria Drake, PT, DPT

  • Physical Therapist
  • Terre Haute, IN
National Provider Identifier
1225688385
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05013578A Issued in IN
Practice address
450 8TH Ave
Terre Haute, IN 47804-4030
Phone
(812) 238-7171
NPI assigned
Sep 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05013578A IN Primary

Addresses

Primary practice location

450 8TH Ave
Terre Haute, IN 47804-4030

Mailing address

4030 W County Road 1100 N
Farmersburg, IN 47850-8277
Phone (812) 243-4828

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address maria.drake@phrehab.com

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

State licenses

LicenseStateTypeSpecialty
05013578AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital, Inc. PastSince Sep 25, 2019 Accepting new patients

Organizations & group practices 1

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": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1225688385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 W COUNTY ROAD 1100 N",
            "city": "FARMERSBURG",
            "state": "IN",
            "postal_code": "478508277",
            "telephone_number": "812-243-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 8TH AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478044030",
            "telephone_number": "812-238-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "MARIA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05013578A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maria.drake@phrehab.com",
            "affiliation": "N",
            "address_1": "450 8th Ave",
            "city": "Terre Haute",
            "state": "IN",
            "country_code": "US",
            "postal_code": "478044030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.