Individual provider Active NPI

Carolyn Nobbe, PT, DPT

  • Neurology Physical Therapist
  • Greenwood, IN
National Provider Identifier
1659147098
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
05013079A Issued in IN
Practice address
3000 S State Road 135
Greenwood, IN 46143-9825
Phone
(317) 497-6000
NPI assigned
Nov 28, 2023
Last updated
Nov 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X 05013079A IN Primary

Addresses

Primary practice location

3000 S State Road 135
Greenwood, IN 46143-9825

Mailing address

1707 Sparrow CT
Brownsburg, IN 46112-7460

Other practice location 1

3660 Guion Rd
Indianapolis, IN 46222-1697
Phone (317) 920-7535

Other names 1

  • Carolyn Tobin Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240205000930 IN Practitioner - Physical Therapist in Private Practice 6800239179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHN JMH Ventures LLCGroup PAC ID 3870728512, 20 clinicians

Practice addresses (Care Compare)

3000 S State Rd
135 Suite 110
Greenwood, IN 46143-9829
Phone (317) 497-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05013079AINMDNeurology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
CHN JMH Ventures LLC CurrentSince Feb 5, 2024 Accepting new patients
CHN JMH Ventures LLC CurrentSince Feb 5, 2024 Accepting new patients

Locations

7598 Solutions Ctr
Chicago, IL 60677

3000 S State Road 135
Greenwood, IN 46143
Phone (317) 497-6000

3000 S State Road 135
Ste 110
Greenwood, IN 46143
Phone (317) 497-6000

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.

NPI Registry JSON

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1659147098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 SPARROW CT",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461127460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 S STATE ROAD 135",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461439825",
            "telephone_number": "317-497-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3660 Guion Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462221697",
            "country_code": "US",
            "telephone_number": "317-920-7535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOBBE",
        "first_name": "CAROLYN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-28",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "IN",
            "license": "05013079A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "TOBIN",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.