Active NPI
Heather E Freeman, MSPT
- Orthopedic Physical Therapist
- Indianapolis, IN
National Provider Identifier
1649246240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 05008474A
- Practice address
- 1815 N Capitol Ave
#600
Indianapolis, IN 46202 - Phone
- (317) 924-8636
- Fax
- (317) 921-0230
- NPI assigned
- Feb 24, 2006
- Last updated
- May 30, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 05008474A | IN | Primary |
Addresses
Primary practice location
1815 N Capitol Ave
#600
Indianapolis, IN 46202
Mailing address
1815 N Capitol Ave
#600
Indianapolis, IN 46202
Phone (317) 924-8636
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DB9030 | Other | IN | RAILROAD MEDICARE |
| 215630 | Other | IN | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05008474A | IN | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back to Health LLC | Past | Accepting new patients | |
| K Donald Shelbourne MD LLC | Orthopedic | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Indianapolis, IN
- NPI 1154511947
-
dba Shelbourne Knee Center at Methodist Hospital
- Orthopedic Physical Therapist
- Indianapolis, IN
- NPI 1538166988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212105600000",
"number": "1649246240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1815 N CAPITOL AVE",
"address_2": "#600",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46202",
"telephone_number": "317-924-8636",
"fax_number": "317-921-0230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 N CAPITOL AVE",
"address_2": "#600",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46202",
"telephone_number": "317-924-8636",
"fax_number": "317-921-0230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "HEATHER",
"middle_name": "E",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-24",
"last_updated": "2008-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "IN",
"license": "05008474A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DB9030",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "215630",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.