Individual provider Active NPI

Thea Ison, DPT

  • Physical Therapist
  • Connersville, IN
National Provider Identifier
1255030201
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05012451A Issued in IN
Practice address
1941 Virginia Ave
Connersville, IN 47331-2879
Phone
(765) 825-7964
NPI assigned
Feb 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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 05012451A IN Primary

Addresses

Primary practice location

1941 Virginia Ave
Connersville, IN 47331-2879

Mailing address

1941 Virginia Ave
Connersville, IN 47331-2879

Other practice location 1

11051 State Road 101 Ste D
Brookville, IN 47012-0020
Phone (765) 825-7964

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240327003496 IN Practitioner - Physical Therapist in Private Practice 3577900471 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reid Physician Associates, Inc. CurrentSince Feb 21, 2024 Accepting new patients
Reid Physician Associates, Inc CurrentSince Feb 21, 2024 Accepting new patients

Locations

11051 State Road 101
Ste D
Brookville, IN 47012
Phone (765) 647-7669

11051 State Road 101
Ste A
Brookville, IN 47012
Phone (765) 647-4231

1941 Virginia Ave
Connersville, IN 47331
Phone (765) 825-5131

1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000

Organizations & group practices 2

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": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1255030201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 VIRGINIA AVE",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473312879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 VIRGINIA AVE",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473312879",
            "telephone_number": "765-825-7964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11051 State Road 101 Ste D",
            "address_purpose": "LOCATION",
            "city": "Brookville",
            "state": "IN",
            "postal_code": "470120020",
            "country_code": "US",
            "telephone_number": "765-825-7964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISON",
        "first_name": "THEA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05012451A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Connersville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.