Individual provider Active NPI

Hannah Claire Jolly, DPT

  • Physical Therapist
  • Evansville, IN
National Provider Identifier
1578055562
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
225 Crosslake Dr
Evansville, IN 47715-8198
Phone
(812) 477-1558
Fax
(812) 474-2296
NPI assigned
Jun 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

225 Crosslake Dr
Evansville, IN 47715-8198

Mailing address

PO Box 5629
Evansville, IN 47716-5629
Phone (812) 759-7475

Other names 1

  • Hannah Claire Wempe Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180813000412 IN Practitioner - Physical Therapist in Private Practice 0244588978 Reassigns benefits to 3 organizations
I20201013001741 KY Practitioner - Physical Therapist in Private Practice 0244588978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prorehab IncGroup PAC ID 1254317217, 81 clinicians

Practice addresses (Care Compare)

415 Crosslake Dr
Suite B
Evansville, IN 47715-8263
Phone (812) 476-0409

702 Barret Blvd
Henderson, KY 42420-4931
Phone (270) 631-4100

Merit-based Incentive Payment System (MIPS)

Final score
66.6 of 100Reported as group
Quality
60.71
Promoting interoperability
33
Improvement activities
40
Cost
83.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prorehab Inc Physical Therapist CurrentSince Aug 3, 2018 Accepting new patients
Tri-State Orthopaedic Surgeons, Inc. Current Accepting new patients
Prorehab Inc Physical Therapist CurrentSince Aug 3, 2018 Accepting new patients
Orthopaedics-Indianapolis, Inc Physical Therapist Current Accepting new patients
Tri-State Orthopaedic Surgeons, Inc. Physical Therapist CurrentSince Aug 3, 2018 Accepting new patients
Orthopaedics-Indianapolis, Inc CurrentSince Jul 1, 2025 Accepting new patients
Orthopaedics-Indianapolis, Inc CurrentSince Jul 1, 2025 Accepting new patients
Tri-State Orthopaedic Surgeons, Inc. CurrentSince Aug 3, 2018 Accepting new patients
Prorehab Inc Physical Therapist Past Accepting new patients
Prorehab Inc Physical Therapist Past Accepting new patients

Locations

3070 Warrick Dr
Boonville, IN 47601
Phone (812) 431-0517

7300 E Indiana St
Ste 102
Evansville, IN 47715
Phone (812) 759-7451

5625 Pearl Dr
Ste 100
Evansville, IN 47712
Phone (812) 759-7493

415 Crosslake Dr
Ste B
Evansville, IN 47715
Phone (812) 476-0764

4659 N 1st Ave
Evansville, IN 47710
Phone (812) 759-3001

5625 Pearl Dr
Ste 101
Evansville, IN 47712
Phone (812) 474-3800

225 Crosslake Dr
Evansville, IN 47715
Phone (812) 471-6677

75 Industrial Park Rd
Ste D
Ferdinand, IN 47532
Phone (502) 882-9379

10294 S 150 E
Haubstadt, IN 47639
Phone (812) 768-5207

8450 Northwest Blvd
Indianapolis, IN 46278

8887 High Pointe Dr
Ste E
Newburgh, IN 47630
Phone (812) 759-7464

826 N State Road 161
Ste B
Rockport, IN 47635
Phone (812) 627-7007

2121 Willow St
Vincennes, IN 47591
Phone (812) 882-1141

2625 Nashville Rd
Ste 102
Bowling Green, KY 42101
Phone (270) 418-3325

1945 Scottsville Rd
Ste A3
Bowling Green, KY 42104
Phone (270) 393-9393

702 Barret Blvd
#B
Henderson, KY 42420
Phone (270) 631-4100

702 Barret Blvd
Henderson, KY 42420
Phone (270) 631-4100

1075 N Main St
Madisonville, KY 42431
Phone (270) 643-5787

Organizations & group practices 10

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": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1578055562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5629",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477165629",
            "telephone_number": "812-759-7475",
            "fax_number": "812-773-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CROSSLAKE DR",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477158198",
            "telephone_number": "812-477-1558",
            "fax_number": "812-474-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLLY",
        "first_name": "HANNAH",
        "middle_name": "CLAIRE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "WEMPE",
            "middle_name": "CLAIRE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Feb 9, 2021; 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.