Active NPI
Emily Ross
- Pediatric Physical Therapist
- Greenwood, IN
National Provider Identifier
1356749113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 05011353A
- Practice address
- 1701 Library Blvd
Suite a-1
Greenwood, IN 46142-1567 - Phone
- (317) 881-9965
- NPI assigned
- Dec 10, 2014
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 05011353A | IN | Primary |
Addresses
Primary practice location
1701 Library Blvd
Suite a-1
Greenwood, IN 46142-1567
Mailing address
507 Spinnaker Bay
Apt. 208
Greenwood, IN 46143-9669
Phone (260) 710-1812
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
| License | State | Type | Specialty |
|---|---|---|---|
| 05011353A | IN | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418169600000",
"number": "1356749113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 SPINNAKER BAY",
"address_2": "APT. 208",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461439669",
"telephone_number": "260-710-1812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 LIBRARY BLVD",
"address_2": "SUITE A-1",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461421567",
"telephone_number": "317-881-9965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "EMILY",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-10",
"last_updated": "2014-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "IN",
"license": "05011353A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.