Individual provider Active NPI

Louie Cabe Liwanag

  • Physical Therapist
  • Fishers, IN
National Provider Identifier
1740557719
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05010732A Issued in IN
Practice address
14300 E 138TH Ste B
Fishers, IN 46037-0051
Phone
(800) 622-6575
NPI assigned
Nov 18, 2011
Last updated
Apr 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 21892 MD
Physical Therapist 225100000X 05010732A IN Primary

Addresses

Primary practice location

14300 E 138TH Ste B
Fishers, IN 46037-0051

Mailing address

3600 W Bethel Ave
Muncie, IN 47304-5407
Phone (800) 622-6575

Other practice location 1

3600 W Bethel Ave
Muncie, IN 47304-5407
Phone (800) 622-6575

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230526001790 IN Practitioner - Physical Therapist in Private Practice 7719344233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Indiana Orthopedics LLCGroup PAC ID 5698667822, 148 clinicians

Practice addresses (Care Compare)

14300 E
138TH Suite B
Fishers, IN 46037-0051
Phone (317) 773-4301

Merit-based Incentive Payment System (MIPS)

Final score
81.81 of 100Reported as group
Quality
64.48
Promoting interoperability
96
Improvement activities
40
Cost
78.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05010732AINMDPhysical Therapist
21892MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Indiana Orthopedics LLC Physical Therapist CurrentSince Jul 5, 2023 Accepting new patients
Central Indiana Orthopedics, LLC CurrentSince Jul 5, 2023 Accepting new patients

Locations

14300 E 138th
Ste B
Fishers, IN 46037
Phone (317) 773-4301

3600 W Bethel Ave
Muncie, IN 47304
Phone (765) 213-3870

Interoperability endpoints

  • Direct secure messaging: louie.liwanag.p4@direct.beaconortho.nextgenshare.com

Organizations & group practices 2

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": "1321574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1740557719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 W BETHEL AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045407",
            "telephone_number": "800-622-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 E 138TH STE B",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460370051",
            "telephone_number": "800-622-6575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 W Bethel Ave",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473045407",
            "country_code": "US",
            "telephone_number": "800-622-6575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIWANAG",
        "first_name": "LOUIE",
        "middle_name": "CABE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-18",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "21892",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05010732A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.