Individual provider Active NPI

Alexander Howard Skipper

  • Physical Therapist
  • Plainfield, IN
National Provider Identifier
1508415159
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05013512A
Practice address
2656 E Main St Ste 165
Plainfield, IN 46168-2737
Phone
(317) 268-0965
Fax
(317) 707-4554
NPI assigned
Sep 6, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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 05013512A Primary

Addresses

Primary practice location

2656 E Main St Ste 165
Plainfield, IN 46168-2737

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190923002224 IN Practitioner - Physical Therapist in Private Practice 4183954860 Reassigns benefits to 1 organization

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
Advanced Physical Therapy LLCGroup PAC ID 6002959525, 170 clinicians

Practice addresses (Care Compare)

2656 E Main St
Suite 165
Plainfield, IN 46168-2737
Phone (219) 213-7030

Merit-based Incentive Payment System (MIPS)

Final score
85.3 of 100Reported as group
Quality
88.48
Improvement activities
40
Cost
72.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Aug 13, 2019 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Aug 13, 2019 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

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

10651 E US Highway 36
Avon, IN 46123
Phone (317) 677-0174

1312 W Arch Haven Ave
Ste E
Bloomington, IN 47403
Phone (812) 336-8406

822 S Auto Mall Rd
Bloomington, IN 47401
Phone (812) 668-1781

4265 N Cypress Ln
Bloomington, IN 47404
Phone (812) 727-0047

890 N Green St
#A
Brownsburg, IN 46112
Phone (317) 520-5479

1883 S US Highway 231
Crawfordsville, IN 47933
Phone (765) 225-2210

120 W Smith Valley Rd
Ste C
Greenwood, IN 46142
Phone (317) 807-0223

6920 Gatwick Dr
Ste 120
Indianapolis, IN 46241
Phone (317) 856-1162

5620 Michigan Rd
#A
Indianapolis, IN 46228
Phone (317) 454-8593

433 N Capitol Ave
Ste 102
Indianapolis, IN 46204
Phone (317) 860-1646

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

8936 Southpointe Dr
Ste A1
Indianapolis, IN 46227
Phone (317) 888-3838

14660 Herriman Blvd
Ste 300
Noblesville, IN 46060
Phone (317) 774-7744

2656 E Main St
Plainfield, IN 46168

2656 E Main St
Ste 165
Plainfield, IN 46168
Phone (219) 213-7030

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1508415159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2656 E MAIN ST STE 165",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461682737",
            "telephone_number": "317-268-0965",
            "fax_number": "317-707-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIPPER",
        "first_name": "ALEXANDER",
        "middle_name": "HOWARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-06",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": "05013512A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.