Active NPI
Scott Richard Jerke, MSPT
- Physical Therapist
- New Albany, IN
National Provider Identifier
1699891556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05008649A
- Practice address
- 3891 Charlestown Rd
New Albany, IN 47150-9562 - Phone
- (812) 945-3440
- Fax
- (812) 945-3505
- NPI assigned
- Mar 22, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05008649A | IN | Primary |
Addresses
Primary practice location
3891 Charlestown Rd
New Albany, IN 47150-9562
Mailing address
5020 Luke LN.
Sellersburg, IN 47172
Phone (812) 248-4601
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
| License | State | Type | Specialty |
|---|---|---|---|
| 05008649A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Hands Physical Therapy | Physical Therapist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Louisville, KY
- NPI 1851466015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699891556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5020 LUKE LN.",
"city": "SELLERSBURG",
"state": "IN",
"postal_code": "47172",
"telephone_number": "812-248-4601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3891 CHARLESTOWN RD",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471509562",
"telephone_number": "812-945-3440",
"fax_number": "812-945-3505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JERKE",
"first_name": "SCOTT",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05008649A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Albany, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.