Individual provider Active NPI

Stephanie Jayne Machowiak, PT

  • Physical Therapist
  • Indianapolis, IN
National Provider Identifier
1841529732
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05011347A Issued in IN
Practice address
10307 E County Road 100 N
Indianapolis, IN 46234-1250
Phone
(317) 273-2144
NPI assigned
Dec 23, 2009
Last updated
Feb 18, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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 05011347A IN Primary
Physical Therapy Assistant 225200000X 06003778A IN

Addresses

Primary practice location

10307 E County Road 100 N
Indianapolis, IN 46234-1250

Mailing address

9905 Hunt Club Rd
Zionsville, IN 46077-8456

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

LicenseStateTypeSpecialty
05011347AINMDPhysical Therapist
06003778AINMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1841529732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9905 HUNT CLUB RD",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460778456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10307 E COUNTY ROAD 100 N",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462341250",
            "telephone_number": "317-273-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHOWIAK",
        "first_name": "STEPHANIE",
        "middle_name": "JAYNE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-23",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05011347A",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06003778A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.

Verify at the official NPI Registry.