Active NPI
Elaine Patterson, P.T.
- Physical Therapist
- Kendallville, IN
National Provider Identifier
1679989495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05003246A
- Practice address
- 1292 Drake Rd.
Parkview Noble Therapy
Kendallville, IN 46755 - Phone
- (260) 347-8824
- Fax
- (260) 347-8823
- NPI assigned
- Jul 2, 2014
- 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 | 05003246A | IN | Primary |
Addresses
Primary practice location
1292 Drake Rd.
Parkview Noble Therapy
Kendallville, IN 46755
Mailing address
401 N. Sawyer Road
Parkview Noble Hospital
Kendallville, IN 46755
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
| License | State | Type | Specialty |
|---|---|---|---|
| 05003246A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Hospital of Noble County, Inc. | Past | 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.
-
- General Acute Care Hospital
- Kendallville, IN
- NPI 1457366189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404259200000",
"number": "1679989495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 N. SAWYER ROAD",
"address_2": "PARKVIEW NOBLE HOSPITAL",
"city": "KENDALLVILLE",
"state": "IN",
"postal_code": "46755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1292 DRAKE RD.",
"address_2": "PARKVIEW NOBLE THERAPY",
"city": "KENDALLVILLE",
"state": "IN",
"postal_code": "46755",
"telephone_number": "260-347-8824",
"fax_number": "260-347-8823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "ELAINE",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-02",
"last_updated": "2014-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05003246A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kendallville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.