Active NPI
Jefferly Arceo, PT
- Physical Therapist
- Whitestown, IN
National Provider Identifier
1295921807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05016188A
- Practice address
- 5829 New Hope Blvd
Whitestown, IN 46075-4576 - Phone
- (463) 209-8670
- Fax
- (317) 708-6496
- NPI assigned
- Sep 18, 2007
- Sex
- Female
- 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 | 05016188A | IN | Primary |
Addresses
Primary practice location
5829 New Hope Blvd
Whitestown, IN 46075-4576
Mailing address
7601 W Stonegate Dr
Zionsville, IN 46077-8595
Phone (215) 350-0633
Organizations & group practices 6
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.
-
- Physical Therapist
- Fishers, IN
- NPI 1902350457
IN, Physical Therapist
-
- Physical Therapist
- Kansas City, KS
- NPI 1033866975
-
- Physical Therapist
- Meridian, MS
- NPI 1508538810
-
- Physical Therapist
- Murrells Inlet, SC
- NPI 1407463128
-
- Physical Therapist
- Washington, DC
- NPI 1487239349
-
- Physical Therapist
- Bradenton, FL
- NPI 1790302164
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Creative Health Care Management LLC
Practice addresses (Care Compare)
5829 New Hope Blvd
Vertis Therapy|Glasswater
Whitestown, IN 46075-4558
Phone (463) 209-8640
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260206002818 | IN | Practitioner - Physical Therapist in Private Practice | 4789163072 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05016188A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Health Care Management LLC | Physical Therapist | Current | Accepting new patients |
| Creative Health Care Management LLC | Physical Therapist | Current | Accepting new patients |
Locations
300 E Washington Blvd
Fort Wayne, IN 46802
Phone (260) 422-5511
10 S 9th St
Ste 4
Noblesville, IN 46060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769644800000",
"number": "1295921807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7601 W STONEGATE DR",
"city": "ZIONSVILLE",
"state": "IN",
"postal_code": "460778595",
"telephone_number": "215-350-0633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5829 NEW HOPE BLVD",
"city": "WHITESTOWN",
"state": "IN",
"postal_code": "460754576",
"telephone_number": "463-209-8670",
"fax_number": "317-708-6496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARCEO",
"first_name": "JEFFERLY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-18",
"last_updated": "2026-01-29",
"certification_date": "2026-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05016188A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whitestown, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; 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.