Active NPI
Carolyn Jean Gum, M.S.,P.T.
- Physical Therapist
- Indianapolis, IN
National Provider Identifier
1407803737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05001785A
- Practice address
- 8724 Sargent Creek LN
Indianapolis, IN 46256-1376 - Phone
- (317) 913-0350
- Fax
- (317) 913-0351
- NPI assigned
- May 30, 2006
- 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 | 05001785A | IN | Primary |
Addresses
Primary practice location
8724 Sargent Creek LN
Indianapolis, IN 46256-1376
Mailing address
8724 Sargent Creek LN
Indianapolis, IN 46256-1376
Phone (317) 577-0763
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 352101298100 | Other | IN | CARESOURCE |
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05001785A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CG Consulting and Therapy Services, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Neurology Physical Therapist
- Indianapolis, IN
- NPI 1982651451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1407803737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8724 SARGENT CREEK LN",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462561376",
"telephone_number": "317-577-0763",
"fax_number": "317-913-0351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8724 SARGENT CREEK LN",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462561376",
"telephone_number": "317-913-0350",
"fax_number": "317-913-0351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUM",
"first_name": "CAROLYN",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "M.S.,P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-30",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05001785A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "352101298100",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.