Active NPI
Philip Allen Hoehn, PT
- Physical Therapist
- Lawrenceburg, IN
National Provider Identifier
1528047099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05004687A
- Practice address
- 23990 Stateline Rd
Ste 1
Lawrenceburg, IN 47025 - Phone
- (812) 637-6222
- Fax
- (812) 637-6225
- NPI assigned
- Jan 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05004687A | IN | Primary |
| Physical Therapist | 225100000X | PT004914 | OH |
Addresses
Primary practice location
23990 Stateline Rd
Ste 1
Lawrenceburg, IN 47025
Mailing address
23990 Stateline Rd
Ste 1
Lawrenceburg, IN 47025
Phone (812) 637-6222
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31233 | Other | ANTHEM | |
| 29842 | Other | ANTHEM FOR SEI PHYSICAL T | |
| 200163540A | Medicaid | IN |
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 |
|---|---|---|---|
| 05004687A | IN | MD | Physical Therapist |
| PT004914 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325030400000",
"number": "1528047099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23990 STATELINE RD",
"address_2": "STE 1",
"city": "LAWRENCEBURG",
"state": "IN",
"postal_code": "47025",
"telephone_number": "812-637-6222",
"fax_number": "812-637-6225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23990 STATELINE RD",
"address_2": "STE 1",
"city": "LAWRENCEBURG",
"state": "IN",
"postal_code": "47025",
"telephone_number": "812-637-6222",
"fax_number": "812-637-6225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOEHN",
"first_name": "PHILIP",
"middle_name": "ALLEN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-12",
"last_updated": "2011-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05004687A",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT004914",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "31233",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM FOR SEI PHYSICAL T",
"identifier": "29842",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200163540A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lawrenceburg, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.