Individual provider Active NPI

Mary Elizabeth Garner, PT

  • Physical Therapist
  • Princeton, IN
National Provider Identifier
1487294468
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05013525A Issued in IN
Practice address
1808 Sherman Dr
Princeton, IN 47670-1043
Phone
(812) 385-3401
NPI assigned
Jan 8, 2020
Last updated
Jan 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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 05013525A IN Primary

Addresses

Primary practice location

1808 Sherman Dr
Princeton, IN 47670-1043

Mailing address

1808 Sherman Dr
Princeton, IN 47670-1000
Phone (812) 385-3401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210302000527 IL Practitioner - Physical Therapist in Private Practice 2860808730 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mulvaney Rehab Services LTDGroup PAC ID 5597739664, 2 clinicians

Practice addresses (Care Compare)

1100 S 42ND St
Suite a
Mount Vernon, IL 62864-6547
Phone (618) 244-1163

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05013525AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mulvaney Rehab Services LTD Physical Therapist CurrentSince Jan 11, 2021 Accepting new patients
Rehabilitation and Performance Institute PSC Physical Therapist CurrentSince Jan 4, 2021 Accepting new patients

Locations

332 Industrial Dr
Albion, IL 62806
Phone (618) 445-3669

1301 W Evergreen Ave
Ste 1A
Effingham, IL 62401
Phone (217) 690-4882

1100 S 42nd St
Ste A
Mount Vernon, IL 62864
Phone (618) 244-1163

4225 Lincolnshire Dr
Ste B
Mount Vernon, IL 62864

418 W 3rd St
Owensboro, KY 42301
Phone (270) 926-8145

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1487294468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 SHERMAN DR",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476701000",
            "telephone_number": "812-385-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 SHERMAN DR",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476701043",
            "telephone_number": "812-385-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNER",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05013525A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.

Verify at the official NPI Registry.