Individual provider Active NPI

Hans Joseph Meissnest, P.T., D.P.T.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Peru, IN
National Provider Identifier
1730258732
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
05005051A Issued in IN
Practice address
1496 W Hoosier Blvd RM 220
Peru, IN 46970-3727
Phone
(765) 472-5025
Fax
(765) 472-8999
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 05005051A IN Primary

Addresses

Primary practice location

1496 W Hoosier Blvd RM 220
Peru, IN 46970-3727

Mailing address

1942 Marjorie LN
Kokomo, IN 46902-3848
Phone (505) 366-9559

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
05005051AINMDSports Medicine (Physical Medicine & Rehabilitation) Physician

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1730258732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 MARJORIE LN",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023848",
            "telephone_number": "505-366-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1496 W HOOSIER BLVD RM 220",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469703727",
            "telephone_number": "765-472-5025",
            "fax_number": "765-472-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEISSNEST",
        "first_name": "HANS",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2023-09-27",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "IN",
            "license": "05005051A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peru, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.