Active NPI
Maria Veronica Gloria Cordero, PHYSICAL THERAPIST
- Physical Therapist
- Carmel, IN
National Provider Identifier
1750865788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05003609A
- Practice address
- 118 Medical Dr
Carmel, IN 46032-3323 - Phone
- (317) 573-1037
- Fax
- (317) 200-3965
- NPI assigned
- Sep 14, 2018
- Sex
- Female
- 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 | 05003609A | IN | Primary |
Addresses
Primary practice location
118 Medical Dr
Carmel, IN 46032-3323
Mailing address
1315 Beacon Way
Carmel, IN 46032-5053
Phone (317) 441-1720
Other practice location 1
9894 E 121st St
Fishers, IN 46037-4154
Phone (317) 621-4800
Other practice location 2
9894 E 121st St
Fishers, IN 46037-4154
Phone (317) 621-4800
Other practice location 3
118 Medical Dr
Carmel, IN 46032-3323
Phone (317) 573-1037
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
| License | State | Type | Specialty |
|---|---|---|---|
| 05003609A | IN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536883200000",
"number": "1750865788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 BEACON WAY",
"city": "CARMEL",
"state": "IN",
"postal_code": "460325053",
"telephone_number": "317-441-1720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 MEDICAL DR",
"city": "CARMEL",
"state": "IN",
"postal_code": "460323323",
"telephone_number": "317-573-1037",
"fax_number": "317-200-3965"
}
],
"practiceLocations": [
{
"address_1": "9894 E 121st St",
"address_purpose": "LOCATION",
"city": "Fishers",
"state": "IN",
"postal_code": "460374154",
"country_code": "US",
"telephone_number": "317-621-4800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9894 E 121st St",
"address_purpose": "LOCATION",
"city": "Fishers",
"state": "IN",
"postal_code": "460374154",
"country_code": "US",
"telephone_number": "317-621-4800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "118 Medical Dr",
"address_purpose": "LOCATION",
"city": "Carmel",
"state": "IN",
"postal_code": "460323323",
"country_code": "US",
"telephone_number": "317-573-1037",
"fax_number": "317-200-3965",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORDERO",
"first_name": "MARIA VERONICA",
"middle_name": "GLORIA",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-14",
"last_updated": "2018-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05003609A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.