NPIMap

Organization Active NPI

Deaconess Progressive

  • Physical Therapy Clinic/Center
  • Evansville, IN
National Provider Identifier
1306222849
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
05006175A Issued in IN
Legal business name
DEACONESS PROGRESSIVE
Practice address
8700A N Kentucky Ave
Evansville, IN 47725-6308
Phone
(812) 437-2893
NPI assigned
Aug 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

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

Authorized official

Name
Tina McKinney, PT
Title
Physical Therapist
Phone
(812) 612-0266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 05006175A IN Primary

Addresses

Primary practice location

8700A N Kentucky Ave
Evansville, IN 47725-6308

Mailing address

150 N Rosenberger Ave
Evansville, IN 47712-6503

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438819200000",
    "number": "1306222849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N ROSENBERGER AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477126503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700A N KENTUCKY AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477256308",
            "telephone_number": "812-437-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEACONESS PROGRESSIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-06",
        "last_updated": "2015-08-06",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "812-612-0266",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IN",
            "license": "05006175A",
            "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 Aug 6, 2015; 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.