Active NPI
Veronica L. Fenwick, DPT
- Physical Therapist
- Evansville, IN
National Provider Identifier
1619256575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05010552A
- Practice address
- 5828 Pearl Dr
Evansville, IN 47712-8116 - Phone
- (812) 437-1420
- Fax
- (812) 437-1425
- NPI assigned
- Aug 10, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05010552A | IN | Primary |
| Physical Therapist | 225100000X | 005949 | KY |
Addresses
Primary practice location
5828 Pearl Dr
Evansville, IN 47712-8116
Mailing address
PO Box 922
Evansville, IN 47706-0922
Phone (866) 309-5567
Other names 1
- Miss Veronica L. Bradford
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
340 Starlite Dr
Henderson, KY 42420-6102
Phone (812) 437-1420
5828 Pearl Dr
Evansville, IN 47712-8116
Phone (812) 437-1420
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05010552A | IN | MD | Physical Therapist |
| 005949 | KY | MD | Physical Therapist |
Organizations & group practices 1
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": "1312934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776124800000",
"number": "1619256575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 922",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477060922",
"telephone_number": "866-309-5567",
"fax_number": "812-491-1269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5828 PEARL DR",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477128116",
"telephone_number": "812-437-1420",
"fax_number": "812-437-1425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENWICK",
"first_name": "VERONICA",
"middle_name": "L.",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-10",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05010552A",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "005949",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VERONICA",
"last_name": "BRADFORD",
"middle_name": "L.",
"prefix": "MISS",
"credential": "DPT",
"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 Apr 14, 2026; 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.