NPIMap

Organization Active NPI

Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1558428482
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
05008871A Issued in IN
Legal business name
PHYSIOTHERAPY ASSOCIATES INC
Practice address
301 E New York St
Indianapolis, IN 46204-2116
Phone
(317) 951-4030
Fax
(317) 951-4035
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Authorized official

Name
Rob Zigenfus
Title
Contracting
Phone
(901) 685-7227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 05008871A IN Primary

Addresses

Primary practice location

301 E New York St
Indianapolis, IN 46204-2116

Mailing address

301 E New York St
Indianapolis, IN 46204-2116
Phone (317) 951-4030

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030630000020 IN Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 3577470442 8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Avon, IN; Camby, IN; Crawfordsville, IN; Fishers, IN; Indianapolis, IN

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1558428482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E NEW YORK ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462042116",
            "telephone_number": "317-951-4030",
            "fax_number": "317-951-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E NEW YORK ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462042116",
            "telephone_number": "317-951-4030",
            "fax_number": "317-951-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOTHERAPY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "ZIGENFUS",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "CONTRACTING",
        "authorized_official_telephone_number": "901-685-7227"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IN",
            "license": "05008871A",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 7, 2007; 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.

Verify at the official NPI Registry.