Active NPI
Frank Benton Underwood, P.T, PHD, ECS
- Clinical Electrophysiology Physical Therapist
- Evansville, IN
National Provider Identifier
1376532705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Electrophysiology Physical Therapist
- License
- 05006000
- Practice address
- 533 W Columbia St
Evansville, IN 47710-1617 - Phone
- (812) 424-9291
- Fax
- (812) 421-2722
- NPI assigned
- Oct 18, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Electrophysiology Physical Therapist | 2251E1300X | 05006000 | IN | Primary |
Addresses
Primary practice location
533 W Columbia St
Evansville, IN 47710-1617
Mailing address
533 W Columbia St
Evansville, IN 47710-1617
Phone (812) 424-9291
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05006000 | IN | MD | Clinical Electrophysiology Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184630400000",
"number": "1376532705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "533 W COLUMBIA ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477101617",
"telephone_number": "812-424-9291",
"fax_number": "812-421-2722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "533 W COLUMBIA ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477101617",
"telephone_number": "812-424-9291",
"fax_number": "812-421-2722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNDERWOOD",
"first_name": "FRANK",
"middle_name": "BENTON",
"name_prefix": "Prof.",
"credential": "P.T, PHD, ECS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-18",
"last_updated": "2007-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "2251E1300X",
"taxonomy_group": "",
"desc": "Physical Therapist, Electrophysiology, Clinical",
"state": "IN",
"license": "05006000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.