Individual provider Active NPI

Gerald Parra, PT

  • Physical Therapist
  • Schererville, IN
National Provider Identifier
1588693162
Registry record updated Dec 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05006345A Issued in IN
Practice address
21 US Highway 41
Schererville, IN 46375-1201
Phone
(219) 923-4832
Fax
(219) 923-4838
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2017

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 05006345A IN Primary

Addresses

Primary practice location

21 US Highway 41
Schererville, IN 46375-1201

Mailing address

625 Enterprise Dr
Oak Brook, IL 60523-8813
Phone (630) 575-6250

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041227000448 IN Practitioner - Physical Therapist in Private Practice 8921066796 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

1505 US Hwy 41
Suite A20
Schererville, IN 46375-1394
Phone (219) 322-5560

1940 165TH St
Suite 800
Hammond, IN 46320-2840
Phone (219) 803-3880

2307 Laporte Ave
Suite 5
Valparaiso, IN 46383-6997
Phone (219) 477-4500

2338 N US Hwy 35
La Porte, IN 46350-8380
Phone (219) 325-0060

2904 N Calumet Ave
Athletico Physical Therapy
Valparaiso, IN 46383-2639
Phone (219) 462-1020

411 E Ireland Rd
Suite 400
South Bend, IN 46614-2681
Phone (574) 231-8950

510 E 81St Ave
Unit 2
Merrillville, IN 46410-5599
Phone (219) 791-0494

748 E Porter Ave
Chesterton, IN 46304-9101
Phone (219) 255-1566

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05006345AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist Current Accepting new patients
Athletico, LTD Physical Therapist CurrentSince Nov 1, 2016 Accepting new patients
Midwest Orthopaedics at Rush, LLC CurrentSince Nov 11, 2015 Accepting new patients
Midwest Orthopaedics at Rush LLC CurrentSince Nov 11, 2015 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Nov 1, 2016 Accepting new patients
Illiana Surgery and Medical Center Physical Therapist Past Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

625 Enterprise Dr
Oak Brook, IL 60523
Phone (630) 575-6250

3229 Broadway
Gary, IN 46409
Phone (219) 326-2324

9200 Calumet Ave
#300
Munster, IN 46321

21 US Highway 41
Schererville, IN 46375
Phone (219) 803-3880

1505 US Highway 41
Ste A20
Schererville, IN 46375
Phone (219) 322-5560

Organizations & group practices 6

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512604800000",
    "number": "1588693162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 ENTERPRISE DR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605238813",
            "telephone_number": "630-575-6250",
            "fax_number": "630-575-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 US HIGHWAY 41",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463751201",
            "telephone_number": "219-923-4832",
            "fax_number": "219-923-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRA",
        "first_name": "GERALD",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2017-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05006345A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schererville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.

Verify at the official NPI Registry.