Active NPI
Joan Essenmacher, DPT, MS,PT,OCS
- Physical Therapist
- Zionsville, IN
National Provider Identifier
1316184856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05001836A
- Practice address
- 77 Boone VLG
Zionsville, IN 46077-1231 - Phone
- (317) 873-2033
- Fax
- (317) 873-8934
- NPI assigned
- Jan 20, 2009
- Last updated
- Nov 29, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 05001836A | IN | Primary |
Addresses
Primary practice location
77 Boone VLG
Zionsville, IN 46077-1231
Mailing address
77 Boone VLG
Zionsville, IN 46077-1231
Phone (317) 873-2033
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05001836A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holistic Physical Therapy and Wellness, Inc | Physical Therapist | Current | Accepting new patients |
| Orthopaedics and Sports Physical Therapy of Indiana, Inc. | Physical Therapist | Past | Accepting new patients |
| Orthopaedic and Sports Physical Therapy of Indiana, Inc. | Past | Accepting new patients | |
| St. Clare Medical Center | Past | Accepting new patients | |
| Athens Medical Group, Inc | Past | Accepting new patients |
Locations
12401 Wilshire Blvd
Ste 105
Los Angeles, CA 90025
Phone (310) 699-9463
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Los Angeles, CA
- NPI 1124559083
-
- Family Medicine Physician
- Crawfordsville, IN
- NPI 1831205210
-
dba Zionsville Physical Therapy
- Specialist
- Zionsville, IN
- NPI 1063813566
-
dba Zionsville Physical Therapy
- Physical Therapist
- Zionsville, IN
- NPI 1003913476
-
- Skilled Nursing Facility
- Crawfordsville, IN
- NPI 1508960535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638144000000",
"number": "1316184856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 BOONE VLG",
"city": "ZIONSVILLE",
"state": "IN",
"postal_code": "460771231",
"telephone_number": "317-873-2033",
"fax_number": "317-873-8934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 BOONE VLG",
"city": "ZIONSVILLE",
"state": "IN",
"postal_code": "460771231",
"telephone_number": "317-873-2033",
"fax_number": "317-873-8934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESSENMACHER",
"first_name": "JOAN",
"name_prefix": "Ms.",
"credential": "DPT, MS,PT,OCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-20",
"last_updated": "2021-11-29",
"certification_date": "2020-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05001836A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "13652 Cantara St",
"city": "Panorama City",
"state": "CA",
"country_code": "US",
"postal_code": "914025423",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Zionsville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.