Active NPI
Vimal Sharma, R.P.T.
- Physical Therapist
- Schererville, IN
National Provider Identifier
1740260595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05005321A
- Practice address
- 1000, Eagle Ridge Drive
Suite B
Schererville, IN 46375 - Phone
- (219) 805-6897
- Fax
- (219) 922-9143
- NPI assigned
- Jan 18, 2006
- 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 | 05005321A | IN | Primary |
Addresses
Primary practice location
1000, Eagle Ridge Drive
Suite B
Schererville, IN 46375
Mailing address
1000 Eagle Ridge Dr
Ste B
Schererville, IN 46375-4208
Phone (219) 922-9143
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Eagle Ridge Dr
Suite B
Schererville, IN 46375-4208
Phone (219) 805-6923
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05005321A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Max Health Clinic Inc. | Physical Therapist | Current | Accepting new patients |
Locations
1000 Eagle Ridge Dr
Ste B
Schererville, IN 46375
Phone (219) 805-6923
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 and National Provider Directory roles.
-
- Physical Therapist
- Schererville, IN
- NPI 1467424689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524441600000",
"number": "1740260595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 EAGLE RIDGE DR",
"address_2": "STE B",
"city": "SCHERERVILLE",
"state": "IN",
"postal_code": "463754208",
"telephone_number": "219-922-9143",
"fax_number": "219-922-9143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000, EAGLE RIDGE DRIVE",
"address_2": "SUITE B",
"city": "SCHERERVILLE",
"state": "IN",
"postal_code": "46375",
"telephone_number": "219-805-6897",
"fax_number": "219-922-9143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARMA",
"first_name": "VIMAL",
"credential": "R.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2018-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05005321A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Schererville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; 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.