Organization Active NPI

Apex Therapy Clinic, PC

  • Sports Physician Chiropractor
  • Indianapolis, IN
National Provider Identifier
1689846560
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
08002002A Issued in IN
Legal business name
APEX THERAPY CLINIC, PC
Practice address
6905 E 96TH St
Suite 600
Indianapolis, IN 46250-4453
Phone
(317) 577-1990
Fax
(317) 577-1993
NPI assigned
Mar 31, 2008
Last updated
May 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2013

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

Authorized official

Name
Kathi Gasaway
Title
Office Manager
Phone
(317) 577-1990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 08002002A IN Primary

Addresses

Primary practice location

6905 E 96TH St
Suite 600
Indianapolis, IN 46250-4453

Mailing address

6905 E 96TH St
Suite 600
Indianapolis, IN 46250-4453
Phone (317) 577-1990

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051104000426 IN Part B Supplier - Clinic/Group Practice 2567480841 Receives reassigned benefits from 4 practitioners
Practice locations: Indianapolis, IN

National Provider Directory

National Provider Directory

Locations

6905 E 96th St
Ste 900
Indianapolis, IN 46250
Phone (317) 577-1990

8705 Castle Creek Parkway East Dr
Indianapolis, IN 46250
Phone (317) 396-1990

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367798400000",
    "number": "1689846560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6905 E 96TH ST",
            "address_2": "SUITE 600",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462504453",
            "telephone_number": "317-577-1990",
            "fax_number": "317-577-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6905 E 96TH ST",
            "address_2": "SUITE 600",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462504453",
            "telephone_number": "317-577-1990",
            "fax_number": "317-577-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX THERAPY CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2013-05-06",
        "status": "A",
        "authorized_official_last_name": "GASAWAY",
        "authorized_official_first_name": "KATHI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "317-577-1990"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "IN",
            "license": "08002002A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.