Active NPI
Alexis Ann Nagel, PT, DPT
- Physical Therapist
- Shelbyville, IN
National Provider Identifier
1417501768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05010830A
- Practice address
- 2216 N Riley Hwy
Shelbyville, IN 46176-9311 - Phone
- (317) 218-9716
- NPI assigned
- Jul 25, 2019
- 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 | 05010830A | IN | Primary |
Addresses
Primary practice location
2216 N Riley Hwy
Shelbyville, IN 46176-9311
Mailing address
7505 Samuel Dr
Indianapolis, IN 46259-9678
Other practice location 1
1474 E McKay road
Shelbyville, IN 46176
Phone (317) 398-3100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
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
Practice addresses (Care Compare)
1473 E McKay Rd
Shelbyville, IN 46176-8749
Phone (317) 604-5920
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05010830A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services, Inc. | Physical Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Kokomo, IN
- NPI 1518069913
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564012800000",
"number": "1417501768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7505 SAMUEL DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462599678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2216 N RILEY HWY",
"city": "SHELBYVILLE",
"state": "IN",
"postal_code": "461769311",
"telephone_number": "317-218-9716"
}
],
"practiceLocations": [
{
"address_1": "1474 E McKay road",
"address_purpose": "LOCATION",
"city": "Shelbyville",
"state": "IN",
"postal_code": "46176",
"country_code": "US",
"telephone_number": "317-398-3100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAGEL",
"first_name": "ALEXIS",
"middle_name": "ANN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-25",
"last_updated": "2019-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05010830A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelbyville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.