Individual provider Active NPI

Umarani Murugesan Gunasekaran, P.T

  • Physical Therapist
  • Anderson, IN
National Provider Identifier
1457424509
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05003521A Issued in IN
Practice address
815 Stewart Rd
Anderson, IN 46012-9609
Phone
(765) 641-7905
Fax
(765) 641-9858
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05003521A IN Primary

Addresses

Primary practice location

815 Stewart Rd
Anderson, IN 46012-9609

Mailing address

815 Stewart Rd
Anderson, IN 46012-9609
Phone (765) 641-7905

Other identifiers 1

IdentifierTypeStateIssuer
200721500AMedicaidIN

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

State licenses

LicenseStateTypeSpecialty
05003521AINMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1457424509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 STEWART RD",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460129609",
            "telephone_number": "765-641-7905",
            "fax_number": "765-641-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 STEWART RD",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460129609",
            "telephone_number": "765-641-7905",
            "fax_number": "765-641-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNASEKARAN",
        "first_name": "UMARANI",
        "middle_name": "MURUGESAN",
        "name_prefix": "Mrs.",
        "credential": "P.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05003521A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200721500A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.