Organization Active NPI

JMC Physical Therapy

  • Physical Therapist
  • Bloomington, IN
National Provider Identifier
1407273519
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05005047A Issued in IN
Legal business name
JMC PHYSICAL THERAPY
Practice address
406 S Landmark Ave
Bloomington, IN 47403-5000
Phone
(812) 320-2242
Fax
(812) 332-4562
NPI assigned
Mar 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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

Authorized official

Name
Nancy K Catanella, RMC
Title
Billing Manager
Phone
(702) 407-3045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 05005047A IN Primary

Addresses

Primary practice location

406 S Landmark Ave
Bloomington, IN 47403-5000

Mailing address

406 S Landmark Ave
Bloomington, IN 47403-5000
Phone (812) 320-2242

Other identifiers 1

IdentifierTypeStateIssuer
1215100128OtherININDIV NPI

National Provider Directory

National Provider Directory

Locations

406 S Landmark Ave
Bloomington, IN 47403
Phone (812) 320-2242

408 S Landmark Ave
Bloomington, IN 47403
Phone (812) 332-4562

NPI Registry JSON

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396224000000",
    "number": "1407273519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 S LANDMARK AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474035000",
            "telephone_number": "812-320-2242",
            "fax_number": "812-332-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 S LANDMARK AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474035000",
            "telephone_number": "812-320-2242",
            "fax_number": "812-332-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMC PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-26",
        "last_updated": "2014-03-31",
        "status": "A",
        "authorized_official_last_name": "CATANELLA",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "702-407-3045",
        "authorized_official_credential": "RMC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05005047A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIV NPI",
            "identifier": "1215100128",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.