Active NPI
Jennifer Cullen, PT
- Physical Therapist
- Noblesville, IN
National Provider Identifier
1497910509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05007031A
- Practice address
- 15218 Radiance Dr
Noblesville, IN 46060-4693 - Phone
- (317) 770-5092
- NPI assigned
- Jul 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 05007031A | IN | Primary |
Addresses
Primary practice location
15218 Radiance Dr
Noblesville, IN 46060-4693
Mailing address
15218 Radiance Dr
Noblesville, IN 46060-4693
Phone (317) 770-5092
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05007031A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Indiana Physician Alliance, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Tipton, IN
- NPI 1114105517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229558400000",
"number": "1497910509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15218 RADIANCE DR",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460604693",
"telephone_number": "317-770-5092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15218 RADIANCE DR",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460604693",
"telephone_number": "317-770-5092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULLEN",
"first_name": "JENNIFER",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-29",
"last_updated": "2008-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05007031A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Noblesville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.