Individual provider Active NPI

Sheila Quinto

  • Physical Therapist
  • Greenwood, IN
National Provider Identifier
1487778692
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05008994A Issued in IN
Practice address
1411 West County Line Rd. Suite a
Greenwood, IN 46142
Phone
(800) 486-4449
Fax
(317) 886-5030
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

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 05008994A IN Primary

Addresses

Primary practice location

1411 West County Line Rd. Suite a
Greenwood, IN 46142

Mailing address

1411 West County Line Rd. Suite a
Greenwood, IN 46142
Phone (800) 486-4449

Other names 1

  • Sheila Gonzaga Former name

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
05008994AINMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283817600000",
    "number": "1487778692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 WEST COUNTY LINE RD. SUITE A",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "46142",
            "telephone_number": "800-486-4449",
            "fax_number": "317-886-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 WEST COUNTY LINE RD. SUITE A",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "46142",
            "telephone_number": "800-486-4449",
            "fax_number": "317-886-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTO",
        "first_name": "SHEILA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2010-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05008994A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEILA",
            "last_name": "GONZAGA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; 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.