Individual provider Active NPI

Annare L Loubser, PT, OCS, CFMT

  • Orthopedic Physical Therapist
  • West Lafayette, IN
National Provider Identifier
1881771368
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
05002966A Issued in IN
Practice address
909 Sagamore Pkwy W Ste 917
West Lafayette, IN 47906-1443
Phone
(765) 463-0710
Fax
(765) 463-0711
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 05002966A IN Primary
Physical Therapist 225100000X 05002966A IN

Addresses

Primary practice location

909 Sagamore Pkwy W Ste 917
West Lafayette, IN 47906-1443

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other practice location 1

1415 N Main St
906 W. Executive Court ( After 123/15/06)
Monticello, IN 47960-1526
Phone (574) 583-9950

Other identifiers 1

IdentifierTypeStateIssuer
200256490AMedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070319000020 IN Practitioner - Physical Therapist in Private Practice 3274535885 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

909 Sagamore Pkwy W
West Lafayette, IN 47906-1443
Phone (765) 463-6262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince May 26, 2018 Accepting new patients
Select Physical Therapy Holdings, Inc. CurrentSince Jan 27, 2020 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince May 26, 2018 Accepting new patients
Franciscan Physician Network CurrentSince Mar 14, 2022 Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Jan 27, 2020 Accepting new patients
Franciscan Physician Network CurrentSince Mar 14, 2022 Accepting new patients

Locations

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

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

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

3316 E Market St
Logansport, IN 46947
Phone (574) 601-3100

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

909 Sagamore Pkwy W
West Lafayette, IN 47906
Phone (765) 463-6262

909 Sagamore Pkwy W
Ste 917
West Lafayette, IN 47906
Phone (765) 463-0710

4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332

Organizations & group practices 6

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1881771368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 SAGAMORE PKWY W STE 917",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061443",
            "telephone_number": "765-463-0710",
            "fax_number": "765-463-0711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 N Main St",
            "address_2": "906 W. Executive Court ( After 123/15/06)",
            "address_purpose": "LOCATION",
            "city": "Monticello",
            "state": "IN",
            "postal_code": "479601526",
            "country_code": "US",
            "telephone_number": "574-583-9950",
            "fax_number": "574-583-9951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOUBSER",
        "first_name": "ANNARE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PT, OCS, CFMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IN",
            "license": "05002966A",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05002966A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200256490A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.