Active NPI
Renae Dawn Cartwright, PT
- Physical Therapist
- Bloomington, IN
National Provider Identifier
1467447672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05007315A
- Practice address
- 2770 South Adams Road
Bloomington, IN 47403 - Phone
- (812) 323-4661
- NPI assigned
- Sep 14, 2005
- 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 | 05007315A | IN | Primary |
Addresses
Primary practice location
2770 South Adams Road
Bloomington, IN 47403
Mailing address
2770 South Adams Road
Monroe Place
Bloomington, IN 47403
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200396270 | Medicaid | IN | |
| 000000271704 | Other | IN | CSC - ANTHEM |
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, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2770 S Adams St
Bloomington, IN 47403-3242
Phone (812) 323-4661
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05007315A | 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 |
| Pain Management Center of Southern Indiana, Inc. | Past | Accepting new patients | |
| Pain Management Center of Southern Indiana | Past | Accepting new patients | |
| Comprehensive Spine Care | Physical Therapist | Past | Accepting new patients |
Locations
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
Organizations & group practices 5
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
-
- Multi-Specialty Clinic/Center
- Bloomington, IN
- NPI 1639164700
Physical Therapist
-
- Pain Medicine Physician
- New Albany, IN
- NPI 1720222862
-
- Multi-Specialty Clinic/Center
- Bloomington, IN
- NPI 1629063797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412553600000",
"number": "1467447672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2770 SOUTH ADAMS ROAD",
"address_2": "MONROE PLACE",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "47403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2770 SOUTH ADAMS ROAD",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "47403",
"telephone_number": "812-323-4661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTWRIGHT",
"first_name": "RENAE",
"middle_name": "DAWN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-14",
"last_updated": "2014-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05007315A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200396270",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSC - ANTHEM",
"identifier": "000000271704",
"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 Oct 6, 2014; 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.