Active NPI
Rachelle Cannella, PT
- Physical Therapist
- Avon, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05007430A
- Practice address
- 10940 E US Highway 36
Avon, IN 46123-7980 - Phone
- (765) 442-4200
- Fax
- (765) 442-4201
- NPI assigned
- Feb 14, 2007
- Last updated
- Jun 20, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT008741 | GA | |
| Physical Therapist | 225100000X | 05007430A | IN | Primary |
Addresses
Primary practice location
10940 E US Highway 36
Avon, IN 46123-7980
Mailing address
600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-6250
Other practice location 1
2605 E Creeks Edge Dr
Bloomington, IN 47401-8368
Phone (812) 333-2663
Other names 1
- Rachelle Winterrowd
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rcannella@direct.iuhealth.org | Direct |
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, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
2605 E Creeks Edge Dr
Indiana University So in Phy Inc
Bloomington, IN 47401-8368
Phone (888) 484-3258
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT008741 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Health Southern Indiana Physicians, LLC | Current | Accepting new patients | |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Indiana University Health Southern Indiana Physicians LLC | Current | Accepting new patients | |
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
Locations
600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250
10940 E US Highway 36
Avon, IN 46123
Phone (317) 808-7000
2605 E Creeks Edge Dr
Bloomington, IN 47401
Phone (812) 333-2663
727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450
3229 Broadway
Gary, IN 46409
Phone (219) 326-2324
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
1505 US Highway 41
Ste A20
Schererville, IN 46375
Phone (219) 322-5560
Interoperability endpoints
- rcannella@direct.iuhealth.org
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Bloomington, IN
- NPI 1013953983
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
dba Athletico Physical Therapy
- Clinic/Center
- Lafayette, IN
- NPI 1053044867
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Bloomington, IN
- NPI 1063179844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718841600000",
"number": "1659414324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 OAKMONT LN STE 600C",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605595548",
"telephone_number": "630-575-6250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10940 E US HIGHWAY 36",
"city": "AVON",
"state": "IN",
"postal_code": "461237980",
"telephone_number": "765-442-4200",
"fax_number": "765-442-4201"
}
],
"practiceLocations": [
{
"address_1": "2605 E Creeks Edge Dr",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "IN",
"postal_code": "474018368",
"country_code": "US",
"telephone_number": "812-333-2663",
"fax_number": "812-676-4131",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CANNELLA",
"first_name": "RACHELLE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT008741",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05007430A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rcannella@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2605 E Creeks Edge Dr",
"city": "Bloomington",
"state": "IN",
"country_code": "US",
"postal_code": "474018368",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "RACHELLE",
"last_name": "WINTERROWD",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Avon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.