Individual provider Active NPI

Alex Dunn

  • Physical Therapist
  • Fishers, IN
National Provider Identifier
1821652983
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05013458A Issued in IN
Practice address
8235 E 116TH St Ste 220
Fishers, IN 46038-1554
Phone
(317) 813-2100
NPI assigned
Apr 24, 2019
Last updated
Dec 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Physical Therapist 225100000X 05013458A IN Primary

Addresses

Primary practice location

8235 E 116TH St Ste 220
Fishers, IN 46038-1554

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

6920 Gatwick Dr Ste 120
Indianapolis, IN 46241-9506
Phone (317) 856-1162

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190819003670 IN Practitioner - Physical Therapist in Private Practice 1456689157 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

210 S Creasy LN
Suite 2160
Lafayette, IN 47905-0763
Phone (765) 607-6918

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Jul 19, 2021 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Aug 7, 2019 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Aug 7, 2019 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Jul 19, 2021 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

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

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

8235 E 116th St
Ste 220
Fishers, IN 46038
Phone (317) 813-2100

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

6920 Gatwick Dr
Ste 120
Indianapolis, IN 46241
Phone (317) 856-1162

210 S Creasy Ln
Ste 2160
Lafayette, IN 47905
Phone (765) 607-6918

1505 US Highway 41
Ste A20
Schererville, IN 46375
Phone (219) 322-5560

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1821652983",
    "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": "8235 E 116TH ST STE 220",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460381554",
            "telephone_number": "317-813-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6920 Gatwick Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462419506",
            "country_code": "US",
            "telephone_number": "317-856-1162",
            "fax_number": "317-821-0455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNN",
        "first_name": "ALEX",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-24",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05013458A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.