Active NPI
Tasheena Tanee Krishna
- Physical Therapist
- Indianapolis, IN
National Provider Identifier
1548741101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05010881A
- Practice address
- 4904 War Admiral Dr
Indianapolis, IN 46237-9737 - Phone
- (317) 884-5741
- NPI assigned
- Aug 22, 2018
- 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 | 05010881A | IN | Primary |
Addresses
Primary practice location
4904 War Admiral Dr
Indianapolis, IN 46237-9737
Mailing address
3823 Westberry CT
Greenwood, IN 46142-5506
Phone (317) 625-3276
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05010881A | Other | IN | IN PLA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05010881A | IN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534896000000",
"number": "1548741101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3823 WESTBERRY CT",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461425506",
"telephone_number": "317-625-3276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4904 WAR ADMIRAL DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462379737",
"telephone_number": "317-884-5741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRISHNA",
"first_name": "TASHEENA",
"middle_name": "TANEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-22",
"last_updated": "2018-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05010881A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IN PLA",
"identifier": "05010881A",
"state": "IN"
}
],
"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 Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.