Active NPI
Philip K Mutter, DPT
- Physical Therapist
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05012073A
- Practice address
- 3519 N Green River Rd
Evansville, IN 47715-1347 - Phone
- (812) 473-7253
- Fax
- (812) 473-7264
- NPI assigned
- Sep 6, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 006712 | KY | |
| Physical Therapist | 225100000X | 05012073A | IN | Primary |
Addresses
Primary practice location
3519 N Green River Rd
Evansville, IN 47715-1347
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1588 Leestown Rd
Suite 120
Lexington, KY 40511-2365
Phone (859) 317-8086
204 Cross County PLZ
Batesville, IN 47006-8914
Phone (812) 803-2408
3800 Frederica St
Suite 1a
Owensboro, KY 42301-6970
Phone (270) 745-9555
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benchmark Physical Therapy Indiana LLC | Physical Therapist | Current | Accepting new patients |
| Advanced Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Tri-State Orthopaedic Surgeons, Inc. | Current | Accepting new patients | |
| Tri-State Orthopaedic Surgeons, Inc. | Current | Accepting new patients | |
| Tri-State Orthopaedic Surgeons, Inc. | Physical Therapist | Current | Accepting new patients |
| Advanced Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy of Ky LLC | Physical Therapist | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
204 Cross County Plz
Batesville, IN 47006
Phone (812) 803-2408
474 W Plaza Dr
Columbia City, IN 46725
Phone (260) 244-8009
225 Crosslake Dr
Evansville, IN 47715
Phone (812) 471-6677
7300 E Indiana St
Ste 102
Evansville, IN 47715
Phone (812) 759-7451
415 Crosslake Dr
Ste B
Evansville, IN 47715
Phone (812) 476-0764
3519 N Green River Rd
Evansville, IN 47715
Phone (812) 437-1420
6240 E Virginia St
Ste E
Evansville, IN 47715
Phone (812) 909-9171
5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579
8887 High Pointe Dr
Ste E
Newburgh, IN 47630
Phone (812) 759-7464
2121 Willow St
Vincennes, IN 47591
Phone (812) 882-1141
1588 Leestown Rd
Ste 120
Lexington, KY 40511
Phone (859) 317-8086
3800 Frederica St
Ste 1A
Owensboro, KY 42301
Phone (270) 495-4332
3000 Alvey Park Dr W
Ste C
Owensboro, KY 42303
Phone (270) 240-4694
Organizations & group practices 7
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.
-
- Physical Therapist
- Westfield, IN
- NPI 1356930564
-
- Physical Therapist
- Indianapolis, IN
- NPI 1316940505
-
- Orthopaedic Surgery Physician
- Evansville, IN
- NPI 1073501003
-
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
- NPI 1700595089
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Vincennes, IN
- NPI 1699414961
-
- Physical Therapist
- Evansville, IN
- NPI 1730357237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477958400000",
"number": "1689009805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2223",
"fax_number": "630-759-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3519 N GREEN RIVER RD",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477151347",
"telephone_number": "812-473-7253",
"fax_number": "812-473-7264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUTTER",
"first_name": "PHILIP",
"middle_name": "K",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-06",
"last_updated": "2016-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "006712",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05012073A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.