Organization Active NPI

Whitewater Valley Health Care Management and Marketing Inc

  • Physical Therapist
  • Richmond, IN
National Provider Identifier
1386744530
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
WHITEWATER VALLEY HEALTH CARE MANAGEMENT AND MARKETING INC
Practice address
750 Chester Blvd
Richmond, IN 47374-1900
Phone
(765) 939-0820
Fax
(765) 939-0920
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Authorized official

Name
Amy CulbertsonNPI 1013000280
Title
Admin
Phone
(795) 939-0820

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X

Addresses

Primary practice location

750 Chester Blvd
Richmond, IN 47374-1900

Mailing address

750 Chester Blvd
Richmond, IN 47374-1900
Phone (765) 939-0820

Other identifiers 2

IdentifierTypeStateIssuer
000000104447OtherINANTHEM
200090500AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120920000534 IN Part B Supplier - Clinic/Group Practice 2567420516 Receives reassigned benefits from 2 practitioners
Practice locations: Richmond, IN

National Provider Directory

National Provider Directory

Locations

2102 N Park Rd
Connersville, IN 47331
Phone (765) 825-8099

750 Chester Blvd
Richmond, IN 47374
Phone (765) 939-0820

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1386744530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 CHESTER BLVD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741900",
            "telephone_number": "765-939-0820",
            "fax_number": "765-939-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 CHESTER BLVD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741900",
            "telephone_number": "765-939-0820",
            "fax_number": "765-939-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEWATER VALLEY HEALTH CARE MANAGEMENT AND MARKETING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "CULBERTSON",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "795-939-0820"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000104447",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200090500A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.