Individual provider Active NPI

Nicholas Paul Pittman, DPT

  • Physical Therapist
  • Greenwood, IN
National Provider Identifier
1679458897
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05016096A Issued in IN
Practice address
3000 S State Road 135 Ste 110
Greenwood, IN 46143-9829
Phone
(317) 497-6000
Fax
(317) 497-2514
NPI assigned
Aug 7, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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 05016096A IN Primary

Addresses

Primary practice location

3000 S State Road 135 Ste 110
Greenwood, IN 46143-9829

Mailing address

3000 S State Road 135 Ste 110
Greenwood, IN 46143-9829
Phone (317) 497-2514

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260526003164 IN Practitioner - Physical Therapist in Private Practice 8628548138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
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
05016096AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
CHN JMH Ventures LLC Physical Therapist CurrentSince Aug 10, 2025 Accepting new patients
CHN JMH Ventures LLC PastSince Aug 10, 2025 Accepting new patients

Locations

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1679458897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 S STATE ROAD 135 STE 110",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461439829",
            "telephone_number": "317-497-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 S STATE ROAD 135 STE 110",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461439829",
            "telephone_number": "317-497-6000",
            "fax_number": "317-497-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "NICHOLAS",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05016096A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 7, 2025; 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.