Individual provider Active NPI

Maggie Dye

  • Physical Therapist
  • Newburgh, IN
National Provider Identifier
1629409628
Registry record updated Apr 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05010938A Issued in IN
Practice address
100 St Marys Epworth Xing
Ste. A500
Newburgh, IN 47630-9698
Phone
(812) 485-4437
Fax
(812) 485-6890
NPI assigned
Dec 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2014

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 05010938A IN Primary

Addresses

Primary practice location

100 St Marys Epworth Xing
Ste. A500
Newburgh, IN 47630-9698

Mailing address

PO Box 138
Evansville, IN 47701-0138
Phone (812) 471-1591

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140324002133 IN Practitioner - Physical Therapist in Private Practice 8527299106 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evansville Pelvic Wellness and Rehabilitation LLCGroup PAC ID 3971950221, 2 clinicians

Practice addresses (Care Compare)

4600 Washington Ave
Suite 106B
Evansville, IN 47714-0888
Phone (812) 777-4080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05010938AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Evansville Pelvic Wellness & Rehabilitation LLC Physical Therapist CurrentSince May 2, 2023 Accepting new patients
St Marys Health Inc CurrentSince Oct 1, 2014 Accepting new patients
St. Mary'S Health, Inc CurrentSince Oct 1, 2014 Accepting new patients
St. Mary'S Health, Inc. Past Accepting new patients

Locations

711 Saint Marys Dr
Evansville, IN 47714
Phone (812) 479-4437

4600 Washington Ave
Ste 106B
Evansville, IN 47714
Phone (812) 777-4080

100 St Marys Epworth Xing
Newburgh, IN 47630
Phone (812) 485-4437

100 St Marys Epworth Xing
Ste A500
Newburgh, IN 47630
Phone (812) 485-4437

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396569600000",
    "number": "1629409628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 138",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477010138",
            "telephone_number": "812-471-1591",
            "fax_number": "812-471-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ST MARYS EPWORTH XING",
            "address_2": "STE. A500",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476309698",
            "telephone_number": "812-485-4437",
            "fax_number": "812-485-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYE",
        "first_name": "MAGGIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-02",
        "last_updated": "2014-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05010938A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; 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.