Individual provider Active NPI

Andrew Perkins, PT

  • Physical Therapist
  • Carmel, IN
National Provider Identifier
1306887484
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05004619A Issued in IN
Practice address
928 Copperwood Dr
Carmel, IN 46033-9048
Phone
(812) 272-7200
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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 070-013919 IL
Physical Therapist 225100000X 05004619A IN Primary

Addresses

Primary practice location

928 Copperwood Dr
Carmel, IN 46033-9048

Mailing address

5221 N Broadway St
Chicago, IL 60640-2303
Phone (773) 784-9406

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221020001861 IN Practitioner - Physical Therapist in Private Practice 5193191864 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-013919ILMDPhysical Therapist
05004619AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Mar 1, 2024 Accepting new patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Mar 1, 2024 Accepting new patients
Therapy on Wheels, Inc. Physical Therapist CurrentSince May 12, 2025 Accepting new patients
Indiana Home Care Services LLC Physical Therapist CurrentSince Jul 13, 2022 Accepting new patients
TJ Corporation I LLC Past Accepting new patients
Rci (WRS), LLC. Past Accepting new patients

Locations

8455 Keystone Xing
Indianapolis, IN 46240
Phone (317) 536-1731

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1306887484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402303",
            "telephone_number": "773-784-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 COPPERWOOD DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460339048",
            "telephone_number": "812-272-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-013919",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05004619A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.