Active NPI
Jasmine Patel
- Physical Therapist
- Evansville, IN
National Provider Identifier
1285416966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05014581A
- 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
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 | 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.