Individual provider Active NPI

Erin Lynn Surdey, PT, DPT, OCS

  • Physical Therapist
  • Indianapolis, IN
National Provider Identifier
1780055772
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05012049A Issued in IN
Practice address
1030 E County Line Rd Ste A2
Indianapolis, IN 46227-2933
Phone
(317) 887-1121
Fax
(317) 887-1127
NPI assigned
Oct 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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 05012049A IN Primary

Addresses

Primary practice location

1030 E County Line Rd Ste A2
Indianapolis, IN 46227-2933

Mailing address

1030 E County Line Rd Ste A2
Indianapolis, IN 46227-2933
Phone (317) 887-1121

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240906002504 IN Practitioner - Physical Therapist in Private Practice 2163722067 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
43140CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings, Inc. Physical Therapist CurrentSince Jul 28, 2025 Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Jul 28, 2025 Accepting new patients
Select Physical Therapy Holdings, Inc. Current Accepting new patients
Farwest Rehabilitation, Inc Past Accepting new patients
Northern Asset Management Inc Physical Therapist PastSince Jan 18, 2008 Accepting new patients
Select Medical Rehabilitation Clinics Inc PastSince Jul 22, 2025 Accepting new patients

Locations

1030 E County Line Rd
Ste A2
Indianapolis, IN 46227
Phone (317) 887-1121

3316 E Market St
Logansport, IN 46947
Phone (574) 601-3100

5570 Pebble Village Ln
Noblesville, IN 46062
Phone (317) 678-9861

5570 Pebble Village Ln
Ste 300
Noblesville, IN 46062
Phone (317) 678-9861

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1780055772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 E COUNTY LINE RD STE A2",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462272933",
            "telephone_number": "317-887-1121",
            "fax_number": "317-887-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 E COUNTY LINE RD STE A2",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462272933",
            "telephone_number": "317-887-1121",
            "fax_number": "317-887-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURDEY",
        "first_name": "ERIN",
        "middle_name": "LYNN",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05012049A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.