Active NPI
Anthony Escotto
- Physical Therapist
- Goshen, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05007567A
- Practice address
- 223 North Chicago Avenue
Goshen, IN 46526 - Phone
- (574) 584-3200
- Fax
- (574) 584-3204
- NPI assigned
- Jul 21, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05007567A | IN | Primary |
Addresses
Primary practice location
223 North Chicago Avenue
Goshen, IN 46526
Mailing address
33900 Harper Ave Ste 104
Clinton Township, MI 48035-4258
Phone (586) 416-9100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2930 S Nappanee St
Suite 1
Elkhart, IN 46517-1014
Phone (269) 240-4272
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05007567A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Starlight Care Facilities, Inc | Current | Accepting new patients | |
| Team Rehabilitation Services, LLC | Physical Therapist | Current | Accepting new patients |
| Core Fit Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Team Rehabilitation Services, LLC | Physical Therapist | Current | Accepting new patients |
Locations
2930 S Nappanee St
Ste 1
Elkhart, IN 46517
Phone (269) 240-4272
223 Chicago Ave
Goshen, IN 46526
Phone (574) 584-3200
1992 E Stop 13 Rd
Indianapolis, IN 46227
Phone (317) 808-0230
8628 Purdue Rd
Indianapolis, IN 46268
Phone (317) 677-0660
33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100
Organizations & group practices 4
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.
-
- Physical Therapy Clinic/Center
- Elkhart, IN
- NPI 1023862729
Physical Therapist
-
- Physical Therapist
- Kokomo, IN
- NPI 1790455046
-
- Alzheimer Center (Dementia Center)
- South Bend, IN
- NPI 1295064525
-
- Physical Therapist
- Marietta, GA
- NPI 1508538158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500595200000",
"number": "1578086534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33900 HARPER AVE STE 104",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480354258",
"telephone_number": "586-416-9100",
"fax_number": "586-416-9103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 NORTH CHICAGO AVENUE",
"city": "GOSHEN",
"state": "IN",
"postal_code": "46526",
"telephone_number": "574-584-3200",
"fax_number": "574-584-3204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESCOTTO",
"first_name": "ANTHONY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-21",
"last_updated": "2017-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05007567A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goshen, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2017; 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.