Individual provider Active NPI

Anil Karimilla, MHSPT

  • Physical Therapist
  • Indianapolis, IN
National Provider Identifier
1285819284
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05009502A Issued in IN
Practice address
3895 S Keystone Ave
Indianapolis, IN 46227-3540
Phone
(510) 325-3579
NPI assigned
Jan 8, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501013619 MI
Physical Therapist 225100000X 05009502A IN Primary

Addresses

Primary practice location

3895 S Keystone Ave
Indianapolis, IN 46227-3540

Mailing address

7368 Queen Victoria CT
Apt # C
Indianapolis, IN 46227-6532
Phone (510) 325-3579

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110906000050 IN Practitioner - Physical Therapist in Private Practice 1456521228 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehab Indiana LLCGroup PAC ID 9436303559, 90 clinicians

Practice addresses (Care Compare)

Carmel, IN 46033
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05009502AINMDPhysical Therapist
5501013619MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Feb 1, 2022 Accepting new patients
Fox Rehab Indiana LLC Physical Therapist CurrentSince Jan 1, 2026 Accepting new patients

Locations

14901 Carey Rd
Carmel, IN 46033

101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1285819284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7368 QUEEN VICTORIA CT",
            "address_2": "APT # C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462276532",
            "telephone_number": "510-325-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3895 S KEYSTONE AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462273540",
            "telephone_number": "510-325-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARIMILLA",
        "first_name": "ANIL",
        "name_prefix": "Mr.",
        "credential": "MHSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-08",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501013619",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05009502A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 20, 2011; 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.