Active NPI
Joshua David Corbeil, PT, ATC, CSCS, PES,
- Physical Therapist
- Indianapolis, IN
National Provider Identifier
1437140662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05008472A
- Practice address
- 125 S Pennsylvania St
Indianapolis, IN 46204-3610 - Phone
- (317) 917-2940
- Fax
- (317) 917-2929
- NPI assigned
- Nov 5, 2005
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | 05008472A | IN | Primary |
Addresses
Primary practice location
125 S Pennsylvania St
Indianapolis, IN 46204-3610
Mailing address
5836 Shipwatch PL
Indianapolis, IN 46237-9190
Phone (317) 460-5004
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05008472A | IN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437140662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5836 SHIPWATCH PL",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462379190",
"telephone_number": "317-460-5004",
"fax_number": "317-917-2929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 S PENNSYLVANIA ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462043610",
"telephone_number": "317-917-2940",
"fax_number": "317-917-2929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBEIL",
"first_name": "JOSHUA",
"middle_name": "DAVID",
"credential": "PT, ATC, CSCS, PES,",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05008472A",
"primary": true
}
],
"identifiers": [],
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.