Individual provider Active NPI

Jay Douglas Slusher, MSPT

  • Physical Therapist
  • Columbus, IN
National Provider Identifier
1780937268
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05004886A Issued in IN
Practice address
1675 N National Rd Ste D
Columbus, IN 47201-5501
Phone
(812) 799-1257
Fax
(812) 799-1258
NPI assigned
Oct 20, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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 05004886A IN Primary

Addresses

Primary practice location

1675 N National Rd Ste D
Columbus, IN 47201-5501

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150624002815 IN Practitioner - Physical Therapist in Private Practice 3971814443 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas a Brady Sports Medicine Center, PCGroup PAC ID 5991609281, 100 clinicians

Practice addresses (Care Compare)

10767 Illinois St
Carmel, IN 46032-8972
Phone (317) 817-1200

1401 W County Line Rd
Methodist Sports Medicine
Greenwood, IN 46142-5195
Phone (317) 817-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas a Brady Sports Medicine Center, PC Physical Therapist CurrentSince May 13, 2019 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince May 7, 2015 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince May 7, 2015 Accepting new patients
Thomas a Brady Sports Medicine Center, PC Physical Therapist CurrentSince May 13, 2019 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

10767 Illinois St
Ste 3000
Carmel, IN 46032
Phone (317) 708-6858

1675 N National Rd
Ste D
Columbus, IN 47201
Phone (812) 799-1257

1401 W County Line Rd
Greenwood, IN 46142
Phone (317) 217-1200

5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579

Organizations & group practices 4

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": "1350691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1780937268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 N NATIONAL RD STE D",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472015501",
            "telephone_number": "812-799-1257",
            "fax_number": "812-799-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLUSHER",
        "first_name": "JAY",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-20",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05004886A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.