Active NPI
Victoria Kathryn Pippins, DPT
- Physical Therapist
- Indianapolis, IN
National Provider Identifier
1992289821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05015041A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 070.024000 | IL | MD | Physical Therapist |
| 05015041A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Medical Rehabilitation Clinics Inc | Past | 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.
-
- Rehabilitation Clinic/Center
- Portage, IN
- NPI 1225033202
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.