Individual provider Active NPI

Priyanka Deshmukh, PT

  • Physical Therapist
  • Fishers, IN
National Provider Identifier
1326344102
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05009537A Issued in IN
Practice address
10294 E 96TH St
Fishers, IN 46037-9497
Phone
(317) 288-7572
Fax
(317) 284-1765
NPI assigned
Jan 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05009537A IN Primary

Addresses

Primary practice location

10294 E 96TH St
Fishers, IN 46037-9497

Mailing address

10294 E 96TH St
Fishers, IN 46037-9497
Phone (317) 288-7572

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
05009537AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Innovative Developmental Services, Inc. Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients
Together Employability Aims for More CurrentSince Dec 1, 2024 Accepting new patients

Locations

10294 E 96th St
Fishers, IN 46037
Phone (317) 288-7572

Organizations & group practices 2

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": "1296086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1326344102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10294 E 96TH ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379497",
            "telephone_number": "317-288-7572",
            "fax_number": "317-284-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10294 E 96TH ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379497",
            "telephone_number": "317-288-7572",
            "fax_number": "317-284-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESHMUKH",
        "first_name": "PRIYANKA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-27",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05009537A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.