Organization Active NPI

Health1St of Indy NW

  • Physical Medicine & Rehabilitation Physician
  • Indianapolis, IN
National Provider Identifier
1689978710
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
HEALTH1ST OF INDY NW
Practice address
8258 Rockville Rd
Indianapolis, IN 46214-0000
Phone
(317) 429-5400
Fax
(317) 429-5401
NPI assigned
Jan 4, 2011
Organization subpart
Yes
Parent organization
HEALTH1ST OF GREENFIELD PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Authorized official

Name
Terry Tolle, DC
Title
Ceo
Phone
(317) 683-1970

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

8258 Rockville Rd
Indianapolis, IN 46214-0000

Mailing address

1420 Sadlier Circle E Drive
Indianapolis, IN 46239-0000
Phone (317) 683-1970

National Provider Directory

National Provider Directory
Part of
Health 1St

Locations

8258 Rockville Rd
Indianapolis, IN 46214
Phone (317) 429-5400

NPI Registry JSON

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1689978710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 SADLIER CIRCLE E DRIVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462390000",
            "telephone_number": "317-683-1970",
            "fax_number": "317-683-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8258 ROCKVILLE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462140000",
            "telephone_number": "317-429-5400",
            "fax_number": "317-429-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH1ST OF INDY NW",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH1ST OF GREENFIELD PC",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "TOLLE",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-683-1970",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "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 Jan 4, 2011; 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.