Active NPI
Valerie Anne Petro, P.T.
- Physical Therapist
- Avon, IN
National Provider Identifier
1952534257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05008222
- Practice address
- 445 S County Road 525 E
Avon, IN 46123-8361 - Phone
- (317) 745-1390
- NPI assigned
- Sep 2, 2009
- Last updated
- Sep 2, 2009
- 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 | 05008222 | IN | Primary |
Addresses
Primary practice location
445 S County Road 525 E
Avon, IN 46123-8361
Mailing address
1616 Winding Creek TRL
Brownsburg, IN 46112-9244
Phone (317) 626-5157
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05008222 | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Powerback Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Powerback Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
Locations
101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Powerback Rehabilitation
- Physical Therapist
- Avon, IN
- NPI 1174275283
-
dba Powerback Rehabilitation
- Physical Therapist
- Woodbridge, VA
- NPI 1790640761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251849600000",
"number": "1952534257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 WINDING CREEK TRL",
"city": "BROWNSBURG",
"state": "IN",
"postal_code": "461129244",
"telephone_number": "317-626-5157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 S COUNTY ROAD 525 E",
"city": "AVON",
"state": "IN",
"postal_code": "461238361",
"telephone_number": "317-745-1390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETRO",
"first_name": "VALERIE",
"middle_name": "ANNE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-02",
"last_updated": "2009-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05008222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.