Active NPI
Kelly E Weisner, PT
- Physical Therapist
- Greenwood, IN
National Provider Identifier
1841815107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05010834A
- Practice address
- 124 Hawthorne LN
Greenwood, IN 46142-9430 - Phone
- (317) 332-9861
- NPI assigned
- Jun 12, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 05010834A | IN | Primary |
Addresses
Primary practice location
124 Hawthorne LN
Greenwood, IN 46142-9430
Mailing address
124 Hawthorne LN
Greenwood, IN 46142-9430
Phone (317) 332-9861
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IN3613 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | therapyonwheelsinc.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy on Wheels, Inc. | Physical Therapist | Current | Accepting new patients |
| Flourish Columbus, Inc | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Greenwood, IN
- NPI 1932654985
Physical Therapist
-
- Physical Therapy Clinic/Center
- Columbus, IN
- NPI 1811519655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591920000000",
"number": "1841815107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 HAWTHORNE LN",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461429430",
"telephone_number": "317-332-9861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 HAWTHORNE LN",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461429430",
"telephone_number": "317-332-9861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISNER",
"first_name": "KELLY",
"middle_name": "E",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-12",
"last_updated": "2020-06-12",
"certification_date": "2020-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05010834A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "IN3613",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "therapyonwheelsinc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "124 Hawthorne Ln",
"city": "Greenwood",
"state": "IN",
"country_code": "US",
"postal_code": "461429430",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.