Active NPI
Mary Elizabeth Garner, PT
- Physical Therapist
- Princeton, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05013525A
- Practice address
- 1808 Sherman Dr
Princeton, IN 47670-1043 - Phone
- (812) 385-3401
- NPI assigned
- Jan 8, 2020
- Last updated
- Jan 8, 2020
- 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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 05013525A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mulvaney Rehab Services LTD | Physical Therapist | Current | Accepting new patients |
| Rehabilitation and Performance Institute PSC | Physical Therapist | Current | 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.
-
- Physical Therapy Clinic/Center
- Mount Vernon, IL
- NPI 1306915129
Physical Therapist
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
- Jessy Roy Emmett, HIS
- Christopher Martin Everett, PA-C
- Eye Center of Southwestern Indiana PC
- Elaine Fortner, RPH
- Brianna Nicole Garcia, FNP-BC
- Rebekah R Garner, LAT, ATC
- Gibson Co. Area Rehabilitation Centers, Inc
- Gibson County Area Rehabilitation Centers Inc
- Gibson County Area Rehabilitation Centers Inc
- Gibson County Area Rehabilitation Centers Inc
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.