Elaine Noel Shimmons, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05014363A Issued in IN

Practice address

1353 E Main St
Brownsburg, IN 46112-1433

Phone

(317) 520-4748

NPI assigned

Jun 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Iu Health Medical Group, LLC

  • General Practice Physician
  • Indianapolis, IN
  • NPI 1326893777
  Medicare reassignment NPD
• K1DS Count Therapy, LLC

  • Behavior Analyst
  • Brownsburg, IN
  • NPI 1548566201

  Physical Therapist

  NPD (past)
• The Children'S Theraplay Foundation, Inc.

  • Occupational Therapist
  • Carmel, IN
  • NPI 1184757304

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1669048682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 E MAIN ST",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461121433",
            "telephone_number": "317-520-4748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9919 Towne Rd",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460328260",
            "country_code": "US",
            "telephone_number": "317-872-4166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1002 Wishard Blvd Ste 2021",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462024164",
            "country_code": "US",
            "telephone_number": "317-944-8167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIMMONS",
        "first_name": "ELAINE",
        "middle_name": "NOEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "99104559A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05014363A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PTAN",
            "identifier": "1102279729",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eshimmons@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1002 Wishard Blvd Ste 2021",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462024164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrea Chadwick Shelton, D.M.D.
• Lexia Noelle Shelton
• Tiarra Shepherd
• Holly Duvall Sherry
• Malori Shields, RBT
• Krystal Marie Shirrell, PHARMD
• Kathleen A Shoemaker, PHARM D
• Dani Showalter
• Megan Nicole Siergiej, PT, DPT
• Simmer Counseling, LLC

• Physical Therapist in Brownsburg, IN
• Providers in Brownsburg, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.