Individual provider Active NPI

Ann Marie Naville, DPT

  • Physical Therapist
  • Jeffersonville, IN
National Provider Identifier
1669180949
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05014877A Issued in IN
Practice address
2760 Jefferson Centre Way
Jeffersonville, IN 47130-8266
Phone
(812) 288-8835
Fax
(812) 288-8834
NPI assigned
Nov 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05014877A IN Primary

Addresses

Primary practice location

2760 Jefferson Centre Way
Jeffersonville, IN 47130-8266

Mailing address

2857 Charlestown Rd Ste 200
New Albany, IN 47150-0006
Phone (812) 948-2947

Other practice location 1

2857 Charlestown Rd Ste 200
New Albany, IN 47150-0006
Phone (812) 948-2947

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
05014877AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizons Physical Therapy Limited Partnership PastSince Nov 13, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1669180949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2857 CHARLESTOWN RD STE 200",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471500006",
            "telephone_number": "812-948-2947",
            "fax_number": "812-948-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 JEFFERSON CENTRE WAY",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471308266",
            "telephone_number": "812-288-8835",
            "fax_number": "812-288-8834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2857 Charlestown Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471500006",
            "country_code": "US",
            "telephone_number": "812-948-2947",
            "fax_number": "812-948-4164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAVILLE",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05014877A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.