Active NPI
Theresa Lynn Tretter, P.T.
- Physical Therapist
- Huntingburg, IN
National Provider Identifier
1508903469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05002187A
- Practice address
- 307 N Main St
Huntingburg, IN 47542-1344 - Phone
- (812) 683-5555
- Fax
- (812) 683-1111
- NPI assigned
- Jan 31, 2007
- Last updated
- Jul 16, 2024
- 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 | 05002187A | IN | Primary |
Addresses
Primary practice location
307 N Main St
Huntingburg, IN 47542-1344
Mailing address
307 N Main St
P.O. Box 225
Huntingburg, IN 47542-1344
Phone (812) 683-5555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200871210 A | Medicaid | IN |
Other names 1
- Theresa Lynn Tretter-Jahn
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05002187A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tretter Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
Locations
307 N Main St
Huntingburg, IN 47542
Phone (812) 683-5555
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Optimize Rehab and Performance
- Physical Therapist
- Huntingburg, IN
- NPI 1699896373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1508903469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 N MAIN ST",
"address_2": "P.O. BOX 225",
"city": "HUNTINGBURG",
"state": "IN",
"postal_code": "475421344",
"telephone_number": "812-683-5555",
"fax_number": "812-683-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 N MAIN ST",
"city": "HUNTINGBURG",
"state": "IN",
"postal_code": "475421344",
"telephone_number": "812-683-5555",
"fax_number": "812-683-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRETTER",
"first_name": "THERESA",
"middle_name": "LYNN",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05002187A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200871210 A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "THERESA",
"last_name": "TRETTER-JAHN",
"middle_name": "LYNN",
"credential": "PT, DPT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Huntingburg, IN
- Charles Albert Tollett Jr., MD
- Transition Home Health Services, LLC
- Transitional Services Sub, LLC
- Transitional Services, Inc
- Tretter Physical Therapy PC (Optimize Rehab and Performance)
- Troutman Family Dentistry
- Kenneth R Troutman, D.D.S.
- Timothy Harreld Troutman Jr., OD
- Brian M Wagner, DDS
- Lee B Walden, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.