Active NPI
Michelle Tucci, PT
- Physical Therapist
- Bedford, IN
National Provider Identifier
1316152515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05005131A
- Practice address
- 2137 West 16TH Street
Bedford, IN 47421-3003 - Phone
- (812) 275-5593
- Fax
- (812) 275-5624
- NPI assigned
- May 11, 2007
- Last updated
- Nov 16, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 05005131A | IN | Primary |
Addresses
Primary practice location
2137 West 16TH Street
Bedford, IN 47421-3003
Mailing address
1502 Polo Fields CT
Louisville, KY 40245-4468
Phone (812) 322-2890
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05005131A | IN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510790400000",
"number": "1316152515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1502 POLO FIELDS CT",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402454468",
"telephone_number": "812-322-2890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2137 WEST 16TH STREET",
"city": "BEDFORD",
"state": "IN",
"postal_code": "474213003",
"telephone_number": "812-275-5593",
"fax_number": "812-275-5624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCCI",
"first_name": "MICHELLE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2017-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05005131A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford, IN
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- Cristal Lagail Trotter, CRNA
- Chad Umphress, COTA
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- Ashton E Valentine, RBT
- Jonikka Elizabeth Vance, LCSW
- Pekkuzhiyil Anthrayose Varghese, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.