Active NPI
Lucy Haab
- Physical Therapist
- Indianapolis, IN
National Provider Identifier
1679481295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05016497A
- Practice address
- 1502 W Edgewood Ave
Indianapolis, IN 46217-9291 - Phone
- (317) 791-9031
- Fax
- (317) 791-9001
- NPI assigned
- Sep 1, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05016497A | IN | Primary |
Addresses
Primary practice location
1502 W Edgewood Ave
Indianapolis, IN 46217-9291
Mailing address
1502 W Edgewood Ave
Indianapolis, IN 46217-9291
Phone (317) 791-9031
Other names 1
- Lucy Martin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1679481295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1502 W EDGEWOOD AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462179291",
"telephone_number": "317-791-9031",
"fax_number": "317-791-9001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 W EDGEWOOD AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462179291",
"telephone_number": "317-791-9031",
"fax_number": "317-791-9001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAAB",
"first_name": "LUCY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-01",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05016497A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LUCY",
"last_name": "MARTIN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.