Active NPI
Jennifer Ann Onderak, PT
- Physical Therapist
- Newburgh, IN
National Provider Identifier
1881183176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05008656A
- Practice address
- 9800 Lincoln Ave
Newburgh, IN 47630 - Phone
- (812) 746-7649
- NPI assigned
- May 2, 2018
- 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 | 05008656A | IN | Primary |
Addresses
Primary practice location
9800 Lincoln Ave
Newburgh, IN 47630
Mailing address
2191 Sable Way
Newburgh, IN 47630-8097
Phone (812) 746-7649
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05008656A | Other | IN | INDIANA PROFESSIONAL LICENSING AGENCY |
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 |
|---|---|---|---|
| 05008656A | IN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525219200000",
"number": "1881183176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2191 SABLE WAY",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476308097",
"telephone_number": "812-746-7649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9800 LINCOLN AVE",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "47630",
"telephone_number": "812-746-7649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONDERAK",
"first_name": "JENNIFER",
"middle_name": "ANN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-02",
"last_updated": "2018-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05008656A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIANA PROFESSIONAL LICENSING AGENCY",
"identifier": "05008656A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newburgh, IN
- Marianne Croft Olsen, RD
- Jeffrey Wayne Olson, M.D.
- Oncology Hematology Associates of Southwest Indiana
- Oncology Hematology Associates, PC
- Oncology/Hematology Associates of Southwest Indiana
- Erin Onyett, PA
- Orthopaedic Associates Inc (Elite DME Solutions)
- Orthopaedic Associates, Inc.
- Orthopaedic Associates, Inc.
- Jenna Otten
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.