Active NPI
Ross Patrick Fenimore
- Physical Therapist
- Franklin, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05013494A
- Practice address
- 1057 W Jefferson St
Franklin, IN 46131-2177 - Phone
- (317) 668-0526
- Fax
- (317) 315-8755
- NPI assigned
- Aug 15, 2019
- Sex
- Male
- 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 | 05013494A | IN | Primary |
Addresses
Primary practice location
1057 W Jefferson St
Franklin, IN 46131-2177
Mailing address
600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-6250
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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1057 W Jefferson St
Franklin, IN 46131-2177
Phone (317) 668-0526
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05013494A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Advanced Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Advanced Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250
1057 W Jefferson St
Franklin, IN 46131
Phone (317) 668-0526
2421 N Morton St
Franklin, IN 46131
Phone (317) 738-4401
3229 Broadway
Gary, IN 46409
Phone (219) 326-2324
5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579
1505 US Highway 41
Ste A20
Schererville, IN 46375
Phone (219) 322-5560
Organizations & group practices 4
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.
-
- Physical Therapist
- Indianapolis, IN
- NPI 1316940505
-
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
- NPI 1700595089
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607990400000",
"number": "1891341772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 OAKMONT LN STE 600C",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605595548",
"telephone_number": "630-575-6250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1057 W JEFFERSON ST",
"city": "FRANKLIN",
"state": "IN",
"postal_code": "461312177",
"telephone_number": "317-668-0526",
"fax_number": "317-315-8755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENIMORE",
"first_name": "ROSS",
"middle_name": "PATRICK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-15",
"last_updated": "2020-12-15",
"certification_date": "2020-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05013494A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Franklin, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.