Individual provider Active NPI

Jill N Howard, PT

  • Physical Therapist
  • Evansville, IN
National Provider Identifier
1386848828
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05009259A Issued in IN
Practice address
515 Read Street
Evansville, IN 47710-1739
Phone
(812) 437-1420
NPI assigned
Jun 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 005581 KY
Physical Therapist 225100000X 05009259A IN Primary

Addresses

Primary practice location

515 Read Street
Evansville, IN 47710-1739

Mailing address

PO Box 6890
Evansville, IN 47719-0890
Phone (812) 491-3856

Other practice location 1

5828 Pearl Drive
Evansville, IN 47712-8116
Phone (812) 437-1420

Other practice location 2

340 Starlite Drive
Henderson, KY 42420-6102
Phone (812) 437-1420

Other practice location 3

8700 A North Kentucky
Evansville, IN 47725-6308
Phone (812) 437-2893

Other practice location 4

4521 Lincoln Ave
Evansville, IN 47714-0654
Phone (812) 477-3422

Other practice location 5

4521 Lincoln Ave
Suite 102
Evansville, IN 47714-0654
Phone (812) 477-3422

Other names 1

  • Jill Hickey Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070709000037 IN Practitioner - Physical Therapist in Private Practice 8426158361 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005581KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Oct 16, 2020 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Oct 16, 2020 Accepting new patients
Prorehab Inc Physical Therapist Past Accepting new patients
Tri-State Orthopaedic Surgeons, Inc. Past Accepting new patients
Progressivehealth of Indiana, LLC Past Accepting new patients

Locations

4211 Grimm Rd
Newburgh, IN 47630
Phone (812) 853-9810

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1386848828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6890",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477190890",
            "telephone_number": "812-491-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 READ STREET",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101739",
            "telephone_number": "812-437-1420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5828 Pearl Drive",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477128116",
            "country_code": "US",
            "telephone_number": "812-437-1420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "340 Starlite Drive",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "KY",
            "postal_code": "424206102",
            "country_code": "US",
            "telephone_number": "812-437-1420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8700 A North Kentucky",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477256308",
            "country_code": "US",
            "telephone_number": "812-437-2893",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4521 Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477140654",
            "country_code": "US",
            "telephone_number": "812-477-3422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4521 Lincoln Ave",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477140654",
            "country_code": "US",
            "telephone_number": "812-477-3422",
            "fax_number": "812-401-1016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "JILL",
        "middle_name": "N",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "005581",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05009259A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "HICKEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jun 2, 2021; 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.