Individual provider Active NPI

Nathan S Nevin, PT

  • Physical Therapist
  • Floyds Knobs, IN
National Provider Identifier
1710540539
Registry record updated Dec 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05010169A Issued in IN
Practice address
724 Highlander Point Dr
Floyds Knobs, IN 47119-9442
Phone
(812) 923-0630
NPI assigned
Apr 17, 2019
Last updated
Dec 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05010169A IN Primary

Addresses

Primary practice location

724 Highlander Point Dr
Floyds Knobs, IN 47119-9442

Mailing address

2700 Stanley Gault Pkwy Ste 129
Louisville, KY 40223-5176
Phone (502) 253-4900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nnevin84491@bhkydirect.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190530002103 IN Practitioner - Physical Therapist in Private Practice 8224371513 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The MVMT InstituteGroup PAC ID 1456785211, 10 clinicians

Practice addresses (Care Compare)

3620 Paoli Pike
Suite 1
Floyds Knobs, IN 47119-9787
Phone (812) 903-0001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05010169AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Physical Therapist CurrentSince Jun 1, 2019 Accepting new patients
The MVMT Institute Physical Therapist CurrentSince Feb 1, 2021 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jun 1, 2019 Accepting new patients

Locations

3620 Paoli Pike
Ste 1
Floyds Knobs, IN 47119
Phone (812) 903-0001

724 Highlander Point Dr
Floyds Knobs, IN 47119
Phone (812) 923-0630

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

2700 Stanley Gault Pkwy
Ste 129
Louisville, KY 40223
Phone (502) 253-4900

Interoperability endpoints

  • Direct secure messaging: nnevin84491@bhkydirect.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607212800000",
    "number": "1710540539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 STANLEY GAULT PKWY STE 129",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235176",
            "telephone_number": "502-253-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 HIGHLANDER POINT DR",
            "city": "FLOYDS KNOBS",
            "state": "IN",
            "postal_code": "471199442",
            "telephone_number": "812-923-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVIN",
        "first_name": "NATHAN",
        "middle_name": "S",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-17",
        "last_updated": "2020-12-06",
        "certification_date": "2020-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05010169A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nnevin84491@bhkydirect.com",
            "affiliation": "N",
            "address_1": "724 Highlander Point Dr",
            "city": "Floyds Knobs",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471199442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Floyds Knobs, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2020; 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.

Verify at the official NPI Registry.