Organization Active NPI

Great Heights Physical Therapy

  • Physical Therapist
  • Jasper, IN
National Provider Identifier
1972075281
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
GREAT HEIGHTS PHYSICAL THERAPY
Practice address
1077 N Meridian Rd
Jasper, IN 47546-8469
Phone
(812) 216-7086
Fax
(812) 936-7776
NPI assigned
Dec 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2018

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

Authorized official

Name
Mrs. Carrie Ann Smith, PT, HPCS
Title
Manager
Phone
(812) 216-7086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1077 N Meridian Rd
Jasper, IN 47546-8469

Mailing address

PO Box 294
West Baden Springs, IN 47469-0294
Phone (812) 216-7086

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545868800000",
    "number": "1972075281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 294",
            "city": "WEST BADEN SPRINGS",
            "state": "IN",
            "postal_code": "474690294",
            "telephone_number": "812-216-7086",
            "fax_number": "812-936-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 N MERIDIAN RD",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475468469",
            "telephone_number": "812-216-7086",
            "fax_number": "812-936-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT HEIGHTS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-27",
        "last_updated": "2018-12-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "812-216-7086",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT, HPCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; 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.