Active NPI
JMC Physical Therapy
- Physical Therapist
- Bloomington, IN
National Provider Identifier
1407273519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05005047A
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215100128 | Other | IN | INDIV NPI |
National Provider Directory
National Provider DirectoryLocations
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.