Individual provider Active NPI

Jasmine Patel

  • Physical Therapist
  • Evansville, IN
National Provider Identifier
1285416966
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05014581A Issued in IN
Practice address
516 Court St Ste a
Evansville, IN 47708-1340
Phone
(812) 485-2100
Fax
(812) 485-2101
NPI assigned
Oct 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 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 05014581A IN Primary

Addresses

Primary practice location

516 Court St Ste a
Evansville, IN 47708-1340

Mailing address

9012 E 126TH St
Fishers, IN 46038-2849
Phone (317) 415-6010

Other practice location 1

14020 Old State Rd Ste D100
Evansville, IN 47725-1167
Phone (812) 469-4765

Other practice location 2

9012 E 126th St
Fishers, IN 46038-2849
Phone (317) 415-6010

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

NPI Registry JSON

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1285416966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9012 E 126TH ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382849",
            "telephone_number": "317-415-6010",
            "fax_number": "317-415-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 COURT ST STE A",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477081340",
            "telephone_number": "812-485-2100",
            "fax_number": "812-485-2101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14020 Old State Rd Ste D100",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477251167",
            "country_code": "US",
            "telephone_number": "812-469-4765",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9012 E 126th St",
            "address_purpose": "LOCATION",
            "city": "Fishers",
            "state": "IN",
            "postal_code": "460382849",
            "country_code": "US",
            "telephone_number": "317-415-6010",
            "fax_number": "317-415-6011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JASMINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05014581A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.