Individual provider Active NPI

Dionne Wilson, RPT

  • Physical Therapist
  • Indianapolis, IN
National Provider Identifier
1265486773
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05007601A Issued in IN
Practice address
8805 N Meridian St
Indianapolis, IN 46260-2332
Phone
(317) 706-7246
Fax
(317) 706-7419
NPI assigned
May 20, 2006
Last updated
Jun 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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 05007601A IN Primary

Addresses

Primary practice location

8805 N Meridian St
Indianapolis, IN 46260-2332

Mailing address

29943 Network PL
Chicago, IL 60673-1299
Phone (317) 706-7246

Other practice location 1

533 E County Line Rd Ste 201A
Greenwood, IN 46143-1074
Phone (317) 706-7246

Other practice location 2

11595 N Meridian St Ste 402
Carmel, IN 46032-6947
Phone (317) 706-7246

Other identifiers 2

IdentifierTypeStateIssuer
200831850MedicaidIN
05007601AOtherINLICENSE

Other names 1

  • Dionne Jewell Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070118000504 IN Practitioner - Physical Therapist in Private Practice 0042211013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3738 Landmark Dr
Suite a
Lafayette, IN 47905-6655
Phone 3177067246309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05007601AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shadeland Anesthesia & Pain Associates Inc. Physical Therapist CurrentSince Jan 1, 2006 Accepting new patients
Shadeland Anesthesia & Pain Associates Inc. CurrentSince Jan 1, 2006 Accepting new patients

Locations

29943 Network Pl
Chicago, IL 60673

11595 N Meridian St
Ste 400
Carmel, IN 46032

8805 N Meridian St
Indianapolis, IN 46260
Phone 3177067246109

8805 N Meridian St
Ste 200
Indianapolis, IN 46260
Phone (317) 571-5000

9002 N Meridian St
Ste 209
Indianapolis, IN 46260
Phone (317) 750-3452

3738 Landmark Dr
Ste A
Lafayette, IN 47905
Phone (765) 807-2780

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1265486773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29943 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731299",
            "telephone_number": "317-706-7246",
            "fax_number": "317-706-7419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8805 N MERIDIAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602332",
            "telephone_number": "317-706-7246",
            "fax_number": "317-706-7419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "533 E County Line Rd Ste 201A",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461431074",
            "country_code": "US",
            "telephone_number": "317-706-7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11595 N Meridian St Ste 402",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460326947",
            "country_code": "US",
            "telephone_number": "317-706-7246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DIONNE",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05007601A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200831850",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "05007601A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIONNE",
            "last_name": "JEWELL",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 17, 2026; 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.