Active NPI
Senthilnathan Padmanabhan, PT
- Physical Therapist
- Columbus, IN
National Provider Identifier
1881236271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05004374A
- Practice address
- 4895 Pine Ridge Dr
Columbus, IN 47201-2569 - Phone
- (812) 342-3098
- Fax
- (866) 438-1135
- NPI assigned
- Oct 17, 2019
- Sex
- Male
- 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 | 05004374A | IN | Primary |
Addresses
Primary practice location
4895 Pine Ridge Dr
Columbus, IN 47201-2569
Mailing address
4434 Westminster PL
Columbus, IN 47201-2849
Phone (812) 371-5781
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518069913 | Other | PRIVATE INSURANCE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | LHS-753@legacyinc.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4895 Pine Ridge Dr
Columbus, IN 47201-2569
Phone (812) 342-3098
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services, Inc. | Multi-Specialty | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Multi-Specialty | Current | Accepting new patients |
Locations
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
Interoperability endpoints
- lhs-753@legacyinc.com
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571270400000",
"number": "1881236271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4434 WESTMINSTER PL",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472012849",
"telephone_number": "812-371-5781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4895 PINE RIDGE DR",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472012569",
"telephone_number": "812-342-3098",
"fax_number": "866-438-1135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADMANABHAN",
"first_name": "SENTHILNATHAN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-17",
"last_updated": "2019-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "IN",
"license": "05004374A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE INSURANCE",
"identifier": "1518069913",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "LHS-753@legacyinc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4895 Pine Ridge Dr",
"city": "Columbus",
"state": "IN",
"country_code": "US",
"postal_code": "472012569",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbus, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.