Active NPI
Andrew Perkins, PT
- Physical Therapist
- Carmel, IN
National Provider Identifier
1306887484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05004619A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-013919 | IL | MD | Physical Therapist |
| 05004619A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Powerback Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Powerback Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Therapy on Wheels, Inc. | Physical Therapist | Current | Accepting new patients |
| Indiana Home Care Services LLC | Physical Therapist | Current | 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.
-
- Home Health Agency
- Indianapolis, IN
- NPI 1770836652
Physical Therapist
-
- Physical Therapist
- Avon, IN
- NPI 1174275283
-
- Rehabilitation Clinic/Center
- Greenwood, IN
- NPI 1932654985
Physical Therapist
-
- Physical Therapist
- Woodbridge, VA
- NPI 1790640761
-
- Rehabilitation Clinic/Center
- Chicago, IL
- NPI 1033723101
-
- Physical Therapy Clinic/Center
- Chicago, IL
- NPI 1063417046
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.