Individual provider Active NPI

Jeremy Messersmith

  • Physical Therapist
  • Indianapolis, IN
National Provider Identifier
1265000434
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
433 N Capitol Ave Ste 102
Indianapolis, IN 46204-1238
Phone
(317) 860-1646
NPI assigned
Jun 15, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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 Primary

Addresses

Primary practice location

433 N Capitol Ave Ste 102
Indianapolis, IN 46204-1238

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210617001366 IN Practitioner - Physical Therapist in Private Practice 8426458126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Physical Therapy LLCGroup PAC ID 6002959525, 170 clinicians

Practice addresses (Care Compare)

433 N Capitol Ave
Suite 102
Indianapolis, IN 46204-1238
Phone (317) 860-1646

Merit-based Incentive Payment System (MIPS)

Final score
85.3 of 100Reported as group
Quality
88.48
Improvement activities
40
Cost
72.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince May 24, 2021 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince May 24, 2021 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

4020 Columbus Ave
Anderson, IN 46013
Phone (765) 341-7605

4346 S Scatterfield Rd
Anderson, IN 46013
Phone (765) 641-7605

890 N Green St
#A
Brownsburg, IN 46112
Phone (317) 520-5479

14641 Thatcher Ln
Ste 17
Carmel, IN 46032
Phone (317) 819-6080

4765 E 126th St
Carmel, IN 46033
Phone (317) 810-0525

11681 Brooks School Rd
Ste 1
Fishers, IN 46037
Phone (317) 813-0148

5450 E Fall Creek Parkway North Dr
Ste 102
Indianapolis, IN 46226
Phone (317) 352-5591

6810 Shore Ter
Indianapolis, IN 46254
Phone (317) 290-1177

6920 Gatwick Dr
Ste 120
Indianapolis, IN 46241
Phone (317) 856-1162

5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579

433 N Capitol Ave
Ste 102
Indianapolis, IN 46204
Phone (317) 860-1646

2625 E 62nd St
Ste 1012
Indianapolis, IN 46220
Phone (317) 677-0295

7914 N Shadeland Ave
Ste 100
Indianapolis, IN 46250
Phone (317) 579-0797

506 E Southway Blvd
Kokomo, IN 46902
Phone (765) 626-0299

3300 N Morrison Rd
Muncie, IN 47304
Phone (765) 587-7105

14660 Herriman Blvd
Ste 300
Noblesville, IN 46060
Phone (317) 774-7744

6058 Whitestown Pkwy
Whitestown, IN 46075
Phone (317) 769-1082

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": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1265000434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 N CAPITOL AVE STE 102",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462041238",
            "telephone_number": "317-860-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSERSMITH",
        "first_name": "JEREMY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Jun 15, 2021; 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.