Active NPI
William P Tank, DPT
- Physical Therapist
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05010713A
- Practice address
- 225 Crosslake Dr
Evansville, IN 47715-8198 - Phone
- (812) 471-6677
- Fax
- (812) 474-2296
- NPI assigned
- Jun 24, 2011
- Sex
- Male
- 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 | 9070 | TN | |
| Physical Therapist | 225100000X | 05010713A | IN | Primary |
Addresses
Primary practice location
225 Crosslake Dr
Evansville, IN 47715-8198
Mailing address
7300 E Indiana St
Suite 102
Evansville, IN 47715-2794
Phone (812) 476-0409
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
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)
7 W Main St
Poseyville, IN 47633-9014
Phone (812) 270-4405
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9070 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedics-Indianapolis, Inc | Physical Therapist | Current | Accepting new patients |
| Tri-State Orthopaedic Surgeons, Inc. | Current | Accepting new patients | |
| Orthopaedics-Indianapolis, Inc | Current | Accepting new patients | |
| Prorehab Inc | Physical Therapist | Current | Accepting new patients |
| Prorehab Inc | Physical Therapist | Current | Accepting new patients |
| Tri-State Orthopaedic Surgeons, Inc. | Current | Accepting new patients | |
| Orthopaedics-Indianapolis, Inc | Current | Accepting new patients |
Locations
7300 E Indiana St
Ste 102
Evansville, IN 47715
Phone (812) 759-7451
225 Crosslake Dr
Evansville, IN 47715
Phone (812) 471-6677
4659 N 1st Ave
Evansville, IN 47710
Phone (812) 759-3001
5625 Pearl Dr
Ste 101
Evansville, IN 47712
Phone (812) 474-3800
8450 Northwest Blvd
Indianapolis, IN 46278
8887 High Pointe Dr
Ste E
Newburgh, IN 47630
Phone (812) 759-7464
2121 Willow St
Vincennes, IN 47591
Phone (812) 882-1141
Interoperability endpoints
- referral1@prorehab-poseyville.direct.kno2fy.com
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Charles Ford Hospice in Harmony | Hospice | Corporate Officer (14.3%) | Feb 22, 2024 |
| Charles Ford Hospice in Harmony | Hospice | Corporate Officer (14.3%) | Sep 12, 2024 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- New Harmony, IN
- NPI 1215630041
Corporate Officer
-
- Community Based Hospice Care Agency
- Carmi, IL
- NPI 1649007543
Corporate Officer
Organizations & group practices 7
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.
-
- Physical Therapist
- Evansville, IN
- NPI 1770565509
-
- Orthopaedic Surgery Physician
- Indianapolis, IN
- NPI 1336252451
Physical Therapist
-
- Orthopaedic Surgery Physician
- Evansville, IN
- NPI 1073501003
-
- Orthopaedic Surgery Physician
- Terre Haute, IN
- NPI 1285433953
-
- Orthopaedic Surgery Physician
- Lafayette, IN
- NPI 1316210487
-
- Durable Medical Equipment & Medical Supplies
- Vincennes, IN
- NPI 1841014933
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Vincennes, IN
- NPI 1699414961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328659200000",
"number": "1649566910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7300 E INDIANA ST",
"address_2": "SUITE 102",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477152794",
"telephone_number": "812-476-0409",
"fax_number": "812-476-1016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 CROSSLAKE DR",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477158198",
"telephone_number": "812-471-6677",
"fax_number": "812-474-2296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANK",
"first_name": "WILLIAM",
"middle_name": "P",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-24",
"last_updated": "2012-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "9070",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05010713A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.