Active NPI
Mark Truman, PT
- Physical Therapist
- New Albany, IN
National Provider Identifier
1285345991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05002370A
- Practice address
- 3626 Grant Line Rd
New Albany, IN 47150-2298 - Phone
- (812) 944-1377
- NPI assigned
- Dec 13, 2022
- Last updated
- Dec 13, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05002370A | IN | Primary |
Addresses
Primary practice location
3626 Grant Line Rd
New Albany, IN 47150-2298
Mailing address
3626 Grant Line Rd
New Albany, IN 47150-2298
Phone (812) 944-1377
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05002370A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SN Kentuckiana Rehab, LLC | Past | Accepting new patients | |
| SN Kentuckiana Rehab, LLC | Physical Therapist | Past | Accepting new patients |
| SN Kentuckiana Rehab, LLC | Past | Accepting new patients | |
| SN Kentuckiana Rehab, LLC | Past | Accepting new patients | |
| Daviess County Hospital | Past | Accepting new patients |
Organizations & group practices 5
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.
-
dba Charlestown Place at New Albany
- Skilled Nursing Facility
- New Albany, IN
- NPI 1841625662
-
dba KORT Physical Therapy
- Rehabilitation Clinic/Center
- Sellersburg, IN
- NPI 1013558394
-
dba KORT Physical Therapy
- Rehabilitation Clinic/Center
- New Albany, IN
- NPI 1366915761
Physical Therapist
-
dba KORT Physical Therapy
- Rehabilitation Clinic/Center
- Georgetown, IN
- NPI 1396218798
-
dba KORT Physical Therapy
- Rehabilitation Clinic/Center
- Corydon, IN
- NPI 1487127882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670889600000",
"number": "1285345991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3626 GRANT LINE RD",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471502298",
"telephone_number": "812-944-1377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3626 GRANT LINE RD",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471502298",
"telephone_number": "812-944-1377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUMAN",
"first_name": "MARK",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-13",
"last_updated": "2022-12-13",
"certification_date": "2022-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05002370A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Albany, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.