Individual provider Active NPI

Veronica L. Fenwick, DPT

  • Physical Therapist
  • Evansville, IN
National Provider Identifier
1619256575
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05010552A Issued in IN
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

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111027000805 IN Practitioner - Physical Therapist in Private Practice 9739352204 Reassigns benefits to 1 organization
I20120606000056 KY Practitioner - Physical Therapist in Private Practice 9739352204 Reassigns benefits to 1 organization

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
Oa Therapy LLCGroup PAC ID 7618006453, 24 clinicians

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

LicenseStateTypeSpecialty
05010552AINMDPhysical Therapist
005949KYMDPhysical 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.

Verify at the official NPI Registry.