Active NPI
Amanda Summers
- Physical Therapist
- Carmel, IN
National Provider Identifier
1821413121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05009138A
- Practice address
- 118 Medical Dr
Lifespan Therapy
Carmel, IN 46032-2923 - Phone
- (317) 817-8874
- NPI assigned
- Feb 23, 2014
- Last updated
- Feb 23, 2014
- 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 | 05009138A | IN | Primary |
Addresses
Primary practice location
118 Medical Dr
Lifespan Therapy
Carmel, IN 46032-2923
Mailing address
1647 Fry Rd
Greenwood, IN 46142-1174
Phone (317) 717-1565
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 |
|---|---|---|---|
| 05009138A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collaborating for Kids, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Greenwood, IN
- NPI 1851626386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393113600000",
"number": "1821413121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1647 FRY RD",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461421174",
"telephone_number": "317-717-1565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 MEDICAL DR",
"address_2": "LIFESPAN THERAPY",
"city": "CARMEL",
"state": "IN",
"postal_code": "460322923",
"telephone_number": "317-817-8874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERS",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-23",
"last_updated": "2014-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05009138A",
"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 Feb 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.