Individual provider Active NPI

Alejandra M Oviyus, PT

  • Physical Therapist
  • Fishers, IN
National Provider Identifier
1689067480
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05011411A Issued in IN
Practice address
14320 Rotterdam Rd
Fishers, IN 46037-6416
Phone
(317) 403-4160
Fax
(317) 288-4014
NPI assigned
Mar 18, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05011411A IN Primary
Physical Therapist 225100000X PT 29065 FL

Addresses

Primary practice location

14320 Rotterdam Rd
Fishers, IN 46037-6416

Mailing address

14320 Rotterdam Rd
Fishers, IN 46037-6416
Phone (317) 403-4160

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 29065FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1689067480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14320 ROTTERDAM RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460376416",
            "telephone_number": "317-403-4160",
            "fax_number": "317-288-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14320 ROTTERDAM RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460376416",
            "telephone_number": "317-403-4160",
            "fax_number": "317-288-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVIYUS",
        "first_name": "ALEJANDRA",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-18",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05011411A",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 29065",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.