Individual provider Active NPI

Alanna Margaret Fennimore

  • Physical Therapist
  • Indianapolis, IN
National Provider Identifier
1932756541
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05013479A Issued in IN
Practice address
2333 Post Dr
Indianapolis, IN 46219-1979
Phone
(317) 890-7700
Fax
(317) 890-4400
NPI assigned
Aug 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05013479A IN Primary

Addresses

Primary practice location

2333 Post Dr
Indianapolis, IN 46219-1979

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
05013479AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stride Strong Physical Therapy LLC Physical Therapist CurrentSince Apr 18, 2023 Accepting new patients
Moving Mountains Physical Therapy & Performance LLC Physical Therapist Current Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Aug 13, 2019 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Aug 13, 2019 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

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

2333 Post Dr
Indianapolis, IN 46219
Phone (317) 890-7700

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

2350 NE Griffin Oaks St
Ste C100
Hillsboro, OR 97124
Phone (503) 208-6278

4815 NE Fremont St
Portland, OR 97213
Phone (971) 361-8738

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1932756541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2222",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 POST DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462191979",
            "telephone_number": "317-890-7700",
            "fax_number": "317-890-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNIMORE",
        "first_name": "ALANNA",
        "middle_name": "MARGARET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05013479A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.