NPIMap

Organization Active NPI

Health 1St Physical Rehabilitation of Indianapolis Inc

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1295962736
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71002983A Issued in IN
Legal business name
HEALTH 1ST PHYSICAL REHABILITATION OF INDIANAPOLIS INC
Practice address
6326 Rucker Rd Ste F
Indianapolis, IN 46220-4861
Phone
(317) 253-1644
Fax
(317) 253-9708
NPI assigned
Jun 11, 2009
Last updated
May 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2020

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

Authorized official

Name
Dr. David J. Dunham, DC, DPT, RNNPI 1184719338
Title
Owner/Director
Phone
(317) 253-1644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X 28195910A IN
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X 01043420A IN
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 05010034A IN
Clinical Medical Laboratory 291U00000X
Durable Medical Equipment & Medical Supplies 332B00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 71002983A IN Primary

Addresses

Primary practice location

6326 Rucker Rd Ste F
Indianapolis, IN 46220-4861

Mailing address

6326 Rucker Rd Ste F
Indianapolis, IN 46220-4861
Phone (317) 253-1644

Other practice location 1

7408 W State Road 28 Ste 4B
Elwood, IN 46036-8601
Phone (765) 557-8569

National Provider Directory

National Provider Directory

Locations

7408 W State Road 28
Ste 4B
Elwood, IN 46036
Phone (765) 557-8569

6326 Rucker Rd
Ste F
Indianapolis, IN 46220
Phone (317) 253-1644

1660 E Main St
Ste 101
Plainfield, IN 46168
Phone (317) 839-6686

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589155200000",
    "number": "1295962736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6326 RUCKER RD STE F",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462204861",
            "telephone_number": "317-253-1644",
            "fax_number": "317-253-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6326 RUCKER RD STE F",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462204861",
            "telephone_number": "317-253-1644",
            "fax_number": "317-253-9708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7408 W State Road 28 Ste 4B",
            "address_purpose": "LOCATION",
            "city": "Elwood",
            "state": "IN",
            "postal_code": "460368601",
            "country_code": "US",
            "telephone_number": "765-557-8569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALTH 1ST PHYSICAL REHABILITATION OF INDIANAPOLIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-11",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A",
        "authorized_official_last_name": "DUNHAM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "317-253-1644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, DPT, RN"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28195910A",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IN",
            "license": "01043420A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05010034A",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71002983A",
            "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 May 11, 2020; 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.