Active NPI
Aubrey Dahn Jackson-Conner, DPT
- Physical Therapist
- Columbus, IN
National Provider Identifier
1396863213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 6800 Central Ave. RM 259
Columbus, IN 47203 - Phone
- (812) 799-3455
- Fax
- (812) 396-2053
- NPI assigned
- Mar 27, 2007
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
6800 Central Ave. RM 259
Columbus, IN 47203
Mailing address
3710 Oriole Dr
Columbus, IN 47203-1305
Phone (812) 343-5369
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 059333035 | Other | OR | BLUE CROSS |
| 278540 | Medicaid | OR |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706832000000",
"number": "1396863213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3710 ORIOLE DR",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472031305",
"telephone_number": "812-343-5369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 CENTRAL AVE. RM 259",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "47203",
"telephone_number": "812-799-3455",
"fax_number": "812-396-2053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON-CONNER",
"first_name": "AUBREY",
"middle_name": "DAHN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2024-02-02",
"certification_date": "2024-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "059333035",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "278540",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.