INDIANA STATE UNIVERSITY (NPI# 1063612257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063612257 |
| Entity Type | Organization |
| Organization Name | INDIANA STATE UNIVERSITY |
| Other Organization Name | ISU PHYSICAL THERAPY AND REHABILITATION |
| Practice Address |
567 N 5th St. Terre Haute IN 47809 |
| Practice Telephone | 8122379613 |
| Practice Fax Number | 8122379612 |
| Mailing Telephone | 8122379613 |
| Mailing Fax Number | 8122379612 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2017-04-11 |
| Authorized Official Name | MR. FRED LUSTER (INTERIM PT DIRECTOR) |
| Authorized Official Telephone | 8122379613 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
05009329A | IN | Ambulatory Health Care Facilities |
| Y | 225100000X | Physical Therapist | 05010420A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BLUECROSS & BLUE SHIELD | 000000528265 | 01 |
| IN | ANTHEM BLUE CROSS AND BLUE SHIELD | 000000528265 | 01 |
| Other Name | Type Code |
|---|---|
| ISU Physical Therapy and Rehabilitation | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710097696 | Indiana State University | Psychologist | 450 N 7th St, Root Hall, Terre Haute, IN 47809-1928 | 2006-08-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INDIANA STATE UNIVERSITY | 200 N 7th St, Terre Haute, IN 47809-1902 |
| System for Award Management (SAM) Entities | INDIANA STATE UNIVERSITY FEDERAL CREDIT UNION | 444 N 3rd St, Terre Haute, IN 47807-2925 |
| Oklahoma Business Registrations | INDIANA STATE UNIVERSITY FOUNDATION, INC. | 30 N 5th St, Terre Haute, IN 47809 |
| Indiana Business Entities | INDIANA STATE UNIVERSITY FOUNDATION, INC. | 30 N. 5th St., Terre Haute, IN 47809 |
| Street Address |
567 N 5TH ST. |
| City | TERRE HAUTE |
| State | IN |
| Zip Code | 47809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699291658 | Shunnosuke Hayashi | Specialist/Technologist | 567 N 5th Street, Scwam 257, Terre Haute, IN 47809 | 2017-08-21 |
| 1730502386 | Joseph Rosauer | Specialist/Technologist | 567 N 5th Street, Sycamore Center for Health and Wellness, Terre Haute, IN 47809 | 2014-01-31 |
| 1104851831 | Megan Eileen Tucker | Genetic Counselor, MS | 600 Chestnut St., Science 277, Indiana State University, Terre Haute, IN 47809 | 2006-07-11 |
| 1114410750 | Justin Michael Applegate | Physical Therapist | 567 N 5th St, Terre Haute, IN 47809 | 2018-06-08 |
| 1639626732 | Zoe Lindsley | Specialist/Technologist | 168 Lincoln Quads, Terre Haute, IN 47809-0001 | 2016-09-06 |
| 1174889349 | Shanice Johnson | Specialist/Technologist | Wellness and Applied Medicine Rm 201 5th St, Terre Haute, IN 47809-0001 | 2012-04-02 |
| 1164702452 | Janis Leigh | Psychologist | Indiana State University Psycholog Clinic, Root Hall, Terre Haute, IN 47809-0001 | 2011-08-18 |
| 1447566013 | David John Dziedzicki | Specialist/Technologist | Student Services Building Rm 201, Terre Haute, IN 47809-0001 | 2010-08-20 |
| 1487813028 | Mary Catherine Tucker | Counselor | 1511 College of Education, Indiana State University, Terre Haute, IN 47809-0001 | 2008-06-09 |
| 1023298106 | Benjamin Bradford Fraser | Specialist/Technologist | Athletic Training Department C-06, Indiana State University, Terre Haute, IN 47809-0001 | 2007-11-06 |
| Find all providers in zip 47809 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779952 | Braden M Collins | Physical Therapist | 3177 S 3rd Pl, Terre Haute, IN 47802-3785 | 2020-10-27 |
| 1659984417 | Performance Physical Therapy | Physical Therapist | 1625 S 25th St, Terre Haute, IN 47803-3677 | 2020-08-30 |
| 1043822851 | Valley Rehabilitation & Performance | Physical Therapist | 1219 Ohio St, Terre Haute, IN 47807-3923 | 2020-08-21 |
| 1760032387 | Stevie Ann Shew | Physical Therapist | 7101 S Saginaw Pl, Terre Haute, IN 47802-9719 | 2019-09-16 |
| 1972150175 | Acceleraed Rehabilitation Centers Ltd | Physical Therapist | 516 Wabash Ave, Terre Haute, IN 47807 | 2019-08-22 |
| 1568971885 | Tiffany Marshall | Physical Therapist | North At Uap Bone & Joint Center, Lower Level 1725 North 5th Street, Terre Haute, IN 47804 | 2017-09-29 |
| 1053771410 | Catherine Grace Connell Finzel | Physical Therapist | 4555 S 7th St, Terre Haute, IN 47802-4503 | 2016-02-28 |
| 1508272881 | Shirish Sachdeva | Physical Therapist | 5506 E New Margaret Dr, Terre Haute, IN 47803 | 2014-07-07 |
| 1275817967 | Terre Haute Physical Therapy | Physical Therapist | 4146 S 7th St, Terre Haute, IN 47802-4123 | 2011-09-29 |
| 1366734733 | Cholette Eve Vergino Agustin | Physical Therapist | 7993 Sweetwater Ct, Terre Haute, IN 47802-9503 | 2011-05-04 |
| Find all providers in TERRE HAUTE | ||||
| City | TERRE HAUTE |
| Zip Code | 47809 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.