Individual provider Active NPI

Stephen W Gearhart, PT, DPT

  • Physical Therapist
  • Indianapolis, IN
National Provider Identifier
1508412016
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05013489A Issued in IN
Practice address
1030 E County Line Rd Ste B2
Indianapolis, IN 46227-2998
Phone
(317) 497-6600
NPI assigned
Aug 12, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 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 05013489A IN Primary

Addresses

Primary practice location

1030 E County Line Rd Ste B2
Indianapolis, IN 46227-2998

Mailing address

1030 E County Line Rd Ste B2
Indianapolis, IN 46227-2998
Phone (317) 497-6600

Other practice location 1

1643 E Hanna Ave Ste 107
Indianapolis, IN 46227-3655
Phone (317) 497-2600

Other practice location 2

225 S Emerson Ave
Greenwood, IN 46143-1958
Phone (317) 887-7165

Other practice location 3

302 Bangor Dr
Indianapolis, IN 46227-2424
Phone (317) 941-1381

Other practice location 4

3000 S State Road 135 Ste 110
Greenwood, IN 46143-9829
Phone (317) 535-4375

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190821001550 IN Practitioner - Physical Therapist in Private Practice 5698003242 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
CHN JMH Ventures LLCGroup PAC ID 3870728512, 20 clinicians

Practice addresses (Care Compare)

3000 S State Rd
135 Suite 110
Greenwood, IN 46143-9829
Phone (317) 497-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
CHN JMH Ventures LLC CurrentSince Feb 27, 2020 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Aug 8, 2019 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Aug 8, 2019 Accepting new patients
CHN JMH Ventures LLC Physical Therapist CurrentSince Feb 27, 2020 Accepting new patients
Community Hospital South, Inc. Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

7598 Solutions Ctr
Chicago, IL 60677

3000 S State Road 135
Ste 110
Greenwood, IN 46143
Phone (317) 497-6000

3000 S State Road 135
Greenwood, IN 46143
Phone (317) 497-6000

4950 E Stop 11 Rd
Ste B
Indianapolis, IN 46237
Phone (317) 859-5857

5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579

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.

NPI Registry JSON

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1508412016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 E COUNTY LINE RD STE B2",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462272998",
            "telephone_number": "317-497-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 E COUNTY LINE RD STE B2",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462272998",
            "telephone_number": "317-497-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1643 E Hanna Ave Ste 107",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462273655",
            "country_code": "US",
            "telephone_number": "317-497-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 S Emerson Ave",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461431958",
            "country_code": "US",
            "telephone_number": "317-887-7165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "302 Bangor Dr",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462272424",
            "country_code": "US",
            "telephone_number": "317-941-1381",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 S State Road 135 Ste 110",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461439829",
            "country_code": "US",
            "telephone_number": "317-535-4375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEARHART",
        "first_name": "STEPHEN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-12",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05013489A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.