St Mary's Therapy Northside

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

06001428A Issued in IN

Legal business name

ST MARY'S THERAPY NORTHSIDE

Practice address

14020 Old State Rd Ste D100
Evansville, IN 47725-1164

Phone

(812) 469-4770

Fax

(812) 469-4794

NPI assigned

Nov 4, 2016

Last updated

Nov 4, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Christina K Binhack

Title

Pta

Phone

(812) 469-4770

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1821540030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14020 OLD STATE RD STE D100",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477251164",
            "telephone_number": "812-469-4770",
            "fax_number": "812-469-4794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14020 OLD STATE RD STE D100",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477251164",
            "telephone_number": "812-469-4770",
            "fax_number": "812-469-4794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARY'S THERAPY NORTHSIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "BINHACK",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PTA",
        "authorized_official_telephone_number": "812-469-4770",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IN",
            "license": "06001428A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Mary's Medical Group, LLC (Ascension Medical Group St. Vincent Evansville)
• St Mary's Medical Group, LLC (Ascension Medical Group St. Vincent Evansville)
• St Mary's Medical Group, LLC (St. Vincent Evansville Occupational Medicine)
• St Mary's Medical Group, LLC (Ascension Medical Group St. Vincent Evansville)
• St Mary's Ohio Valley Heart Care, LLC
• St Marys at Home Inc (St. Mary's Medical Equipment)
• St Marys at Home, Inc (St Marys Medical Equipment)
• St Marys Health, Inc. (Ascension St. Vincent Evansville)
• St Marys Health, Inc. (Ascension St. Vincent Evansville)
• St Marys Medical Group, LLC (Ascension Medical Group St. Vincent Evansville)

• Physical Therapy Clinic/Center in Evansville, IN
• Providers in Evansville, IN by specialty
• Physical Therapy Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.