NPIMap

Organization Active NPI

Creative Health Care Management LLC

Doing business as Vertis Therapy

  • Physical Therapist
  • Evansville, IN
National Provider Identifier
1790309904
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CREATIVE HEALTH CARE MANAGEMENT LLC
Doing business as
Vertis Therapy
Practice address
6500 Interchange Rd S Ste a
Evansville, IN 47715-8210
Phone
(812) 477-5000
NPI assigned
Jun 3, 2020
Last updated
Dec 21, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
CREATIVE HEALTH CARE MANAGEMENT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Authorized official

Name
Jessica Beaudry
Title
VP of Operations
Phone
(765) 623-6599

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NU
General Practice Physician 208D00000X NU
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

6500 Interchange Rd S Ste a
Evansville, IN 47715-8210

Mailing address

10 S 9TH St Ste 4
Noblesville, IN 46060-2631
Phone (765) 524-3946

Other names 1

  • Vertis Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Creative HLTH Care6 organizations share this tax ID, including this one
Part of
Creative HLTH Care

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1790309904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 S 9TH ST STE 4",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460602631",
            "telephone_number": "765-524-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 INTERCHANGE RD S STE A",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477158210",
            "telephone_number": "812-477-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE HEALTH CARE MANAGEMENT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CREATIVE HEALTH CARE MANAGEMENT LLC",
        "enumeration_date": "2020-06-03",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "BEAUDRY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "765-623-6599"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vertis Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vertis Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.