Individual provider Active NPI

Victoria Kathryn Pippins, DPT

  • Physical Therapist
  • Indianapolis, IN
National Provider Identifier
1992289821
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05015041A Issued in IN
Practice address
1030 E County Line Rd Ste A2
Indianapolis, IN 46227-2933
Phone
(317) 887-1121
Fax
(317) 887-1127
NPI assigned
Sep 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.024000 IL
Physical Therapist 225100000X 05015041A IN Primary

Addresses

Primary practice location

1030 E County Line Rd Ste A2
Indianapolis, IN 46227-2933

Mailing address

1030 E County Line Rd Ste A2
Indianapolis, IN 46227-2933
Phone (317) 887-1121

Other practice location 1

219 E Vandalia St
Edwardsville, IL 62025-1766
Phone (618) 659-9666

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
070.024000ILMDPhysical Therapist
05015041AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Medical Rehabilitation Clinics Inc PastSince May 28, 2023 Accepting new patients

Organizations & group practices 1

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": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1992289821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 E COUNTY LINE RD STE A2",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462272933",
            "telephone_number": "317-887-1121",
            "fax_number": "317-887-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 E COUNTY LINE RD STE A2",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462272933",
            "telephone_number": "317-887-1121",
            "fax_number": "317-887-1127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "219 E Vandalia St",
            "address_purpose": "LOCATION",
            "city": "Edwardsville",
            "state": "IL",
            "postal_code": "620251766",
            "country_code": "US",
            "telephone_number": "618-659-9666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIPPINS",
        "first_name": "VICTORIA",
        "middle_name": "KATHRYN",
        "name_prefix": "Miss",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-17",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.024000",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05015041A",
            "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 May 22, 2023; 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.