Individual provider Active NPI

Danielle Jena, P.T., DPT

  • Physical Therapist
  • Greencastle, IN
National Provider Identifier
1396169017
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05010873A Issued in IN
Practice address
1003 Mill Pond Dr
Suite C
Greencastle, IN 46135-2608
Phone
(765) 653-8494
NPI assigned
Feb 17, 2014
Last updated
Apr 25, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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 05010873A IN Primary

Addresses

Primary practice location

1003 Mill Pond Dr
Suite C
Greencastle, IN 46135-2608

Mailing address

625 Enterprise Dr
Oak Brook, IL 60523-8813
Phone (630) 575-1940

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140610000945 IN Practitioner - Physical Therapist in Private Practice 7315161551 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

1378 S State Rd
46 Suite C
Terre Haute, IN 47803-9787
Phone (812) 877-2993

2155 S State Rd
Suite 46
Terre Haute, IN 47803-9781
Phone (812) 618-0651

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05010873AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Nov 29, 2016 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Nov 29, 2016 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Physical Therapist CurrentSince Oct 1, 2025 Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

625 Enterprise Dr
Oak Brook, IL 60523
Phone (630) 575-6250

3229 Broadway
Gary, IN 46409
Phone (219) 326-2324

1003 Mill Pond Dr
Ste C
Greencastle, IN 46135
Phone (765) 653-8494

1505 US Highway 41
Ste A20
Schererville, IN 46375
Phone (219) 322-5560

1378 S State Road 46
Ste C
Terre Haute, IN 47803
Phone (812) 877-2993

2155 Sr 46
Terre Haute, IN 47803
Phone (812) 618-0651

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1392595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1396169017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 ENTERPRISE DR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605238813",
            "telephone_number": "630-575-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 MILL POND DR",
            "address_2": "SUITE C",
            "city": "GREENCASTLE",
            "state": "IN",
            "postal_code": "461352608",
            "telephone_number": "765-653-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENA",
        "first_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "P.T., DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-17",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05010873A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greencastle, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.