Organization Active NPI

Hope PT LLC

  • Physical Therapy Clinic/Center
  • Fishers, IN
National Provider Identifier
1265861975
Registry record updated Jun 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
HOPE PT LLC
Practice address
10412 Allisonville Rd Ste 112
Fishers, IN 46038-2034
Phone
(317) 288-7763
Fax
(317) 288-7765
NPI assigned
Nov 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2018

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

Authorized official

Name
Mr. Timothy Berry, MBA
Title
Owner
Phone
(317) 656-0959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

10412 Allisonville Rd Ste 112
Fishers, IN 46038-2034

Mailing address

11852 Somerset Way S
Carmel, IN 46033-3341
Phone (317) 656-0959

Other practice location 1

11083 Village Square Ln
Fishers, IN 46038-4552
Phone (317) 288-7763

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140324001823 IN Part B Supplier - Clinic/Group Practice 3072744648 Receives reassigned benefits from 1 practitioner
Practice locations: Fishers, IN

National Provider Directory

National Provider Directory

Locations

10412 Allisonville Rd
Ste 112
Fishers, IN 46038
Phone (317) 288-7763

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528416000000",
    "number": "1265861975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11852 SOMERSET WAY S",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460333341",
            "telephone_number": "317-656-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10412 ALLISONVILLE RD STE 112",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382034",
            "telephone_number": "317-288-7763",
            "fax_number": "317-288-7765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11083 Village Square Ln",
            "address_purpose": "LOCATION",
            "city": "Fishers",
            "state": "IN",
            "postal_code": "460384552",
            "country_code": "US",
            "telephone_number": "317-288-7763",
            "fax_number": "317-288-7765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOPE PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-03",
        "last_updated": "2018-06-08",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-656-0959",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; 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.