Individual provider Active NPI

Jaime Nurrenbern, PT, DPT, LAT, ATC

  • Physical Therapist
  • Evansville, IN
National Provider Identifier
1548929045
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
99131323A Issued in IN
Practice address
101 NW 1St St Ste 114
Evansville, IN 47708-1259
Phone
(812) 402-0444
Fax
(812) 402-0449
NPI assigned
Dec 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Preventive Medicine) Physician 2083S0010X 36003523A IN
Physical Therapist 225100000X 99131323A IN Primary

Addresses

Primary practice location

101 NW 1St St Ste 114
Evansville, IN 47708-1259

Mailing address

2070 E Presley Dr
Haubstadt, IN 47639-7969
Phone (812) 677-7640

Other practice location 1

10455 Orthopaedic Dr
Newburgh, IN 47630-7955
Phone (812) 437-1420

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250827000373 IN Practitioner - Physical Therapist in Private Practice 9234639824 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Community Therapy IncGroup PAC ID 2961818398, 11 clinicians

Practice addresses (Care Compare)

201 SE 4TH St
Suite 150
Evansville, IN 47713-1201
Phone (812) 461-6716

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36003523AINMDSports Medicine (Preventive Medicine) Physician
99131323AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Therapy LLC Physical Therapist CurrentSince Aug 10, 2025 Accepting new patients
Forefront Community Therapy Inc Physical Therapist CurrentSince Aug 10, 2025 Accepting new patients

Locations

201 SE 4th St
#150
Evansville, IN 47713
Phone (812) 461-6716

101 NW 1st St
Ste 114
Evansville, IN 47708
Phone (812) 402-0444

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": "1639267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1548929045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2070 E PRESLEY DR",
            "city": "HAUBSTADT",
            "state": "IN",
            "postal_code": "476397969",
            "telephone_number": "812-677-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NW 1ST ST STE 114",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477081259",
            "telephone_number": "812-402-0444",
            "fax_number": "812-402-0449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10455 Orthopaedic Dr",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "476307955",
            "country_code": "US",
            "telephone_number": "812-437-1420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NURRENBERN",
        "first_name": "JAIME",
        "credential": "PT, DPT, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-12",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083S0010X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": "IN",
            "license": "36003523A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "99131323A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; 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.