Phillip Plisky, DPT, ATC, CSCS, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05006207A Issued in IN

Practice address

533 W Columbia St
Evansville, IN 47710-1617

Phone

(812) 759-3001

Fax

(812) 401-9013

NPI assigned

Dec 7, 2005

Last updated

Dec 29, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Prorehab at Vincennes, LLC

  • Physical Therapy Clinic/Center
  • Vincennes, IN
  • NPI 1750494787

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230508800000",
    "number": "1245215813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 E INDIANA ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477152794",
            "telephone_number": "812-476-0409",
            "fax_number": "812-476-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 W COLUMBIA ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101617",
            "telephone_number": "812-759-3001",
            "fax_number": "812-401-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLISKY",
        "first_name": "PHILLIP",
        "credential": "DPT, ATC, CSCS, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2008-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05006207A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000302815",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200829430",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizibeth D Pittman, NP-C
• Planned Parenthood of Indiana Evansville
• Madison Plater, MD
• Mason M Plater, MD
• Melody S Plisky, DPT, ATC, OCS
• Penny Lou Ploch, D.C.
• Gracee Plouchard
• Deanna Lynne Plummer, FNP-C
• Nicole Plutino, OTR
• Carrie Poag, MS, OTR

• Physical Therapist in Evansville, IN
• Providers in Evansville, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; 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.