MRS. PHYLLIS ANN FENNEMAN (NPI# 1144426438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144426438 |
| Entity Type | Individual |
| Full Name | MRS. PHYLLIS ANN FENNEMAN |
| Credential | PHYSICAL THERAPIST |
| Practice Address |
10990 Ridge Knoll Dr Evansville IN 47710-5058 |
| Practice Telephone | 8128677521 |
| Mailing Telephone | 8128677521 |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
05001000A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
10990 RIDGE KNOLL DR |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47710-5058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659860971 | Deaconess Clinic, Inc. | Clinic/Center | 309 N 1st Ave, Evansville, IN 47710 | 2018-05-02 |
| 1558858852 | Amanda Marie Fox | Nurse Practitioner | 3838 N 1st Ave Ste E, Evansville, IN 47710 | 2018-04-23 |
| 1255708723 | Peter Wulff | Dentist | 350 W Columbia St Ste 1-d, Evansville, IN 47710 | 2015-08-31 |
| 1427483999 | Deanna Lynne Plummer | Nurse Practitioner | 4480 First Avenue, Evansville, IN 47710 | 2013-09-03 |
| 1124371067 | Michael Wayne Daugherty | Radiology | 350 W Columbia St Ste 420, Evansville, IN 47710 | 2012-10-16 |
| 1316249105 | Melisha Victoria Knowlden | Counselor | 1333 W. Mill Rd, Suite #204, Evansville, IN 47710 | 2010-11-30 |
| 1609057835 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 621 W Columbia St, Evansville, IN 47710 | 2007-11-15 |
| 1023161478 | Janet Marie Kelley | Family Medicine | 3838 N 1st Ave Ste C, Evansville, IN 47710 | 2007-01-19 |
| 1164594545 | John David Diekmann | Dentist | 625 W Mill Rd, Evansville, IN 47710 | 2006-11-14 |
| 1407930977 | Allan C Knapp Dds LLC | Dentist | 3012 N First Ave, Evansville, IN 47710 | 2006-10-24 |
| Find all providers in zip 47710 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295092831 | Carrie Anne Patterson | Physical Therapist | 418 S Ruston Ave, Evansville, IN 47714-1634 | 2012-04-20 |
| 1629274006 | Julie Ann Wickham | Physical Therapist | 705 S Barker Ave, Evansville, IN 47712-4911 | 2007-06-22 |
| 1255850178 | Amber Danae Lucht | Physical Therapist | 3701 Bellemeade Ave, Evansville, IN 47714-0137 | 2017-09-12 |
| 1114303682 | Emma Salyer | Physical Therapist | 4900 Shamrock Dr, Ste 100-102, Evansville, IN 47715-7325 | 2015-08-06 |
| 1417181413 | Spot Services PC | Physical Therapist | 5401 Vogel Rd, Suite 140, Evansville, IN 47715-7832 | 2009-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437769437 | Jenelle Lynn Sternasty | Physical Therapist | 5823 Lakeland Dr, Indianapolis, IN 46220-4167 | 2020-08-04 |
| 1194217851 | Janelle Mary Snyder | Physical Therapist | 7910 E Washington St Ste 150, Indianapolis, IN 46219-5563 | 2018-05-30 |
| 1568905354 | Jaimini Khatri | Physical Therapist | 7123 Windsor Lakes Pl, Indianapolis, IN 46237-8313 | 2016-11-28 |
| 1740699008 | Jennifer Paige Canter | Physical Therapist | 5517 Raintree Rdg, Jeffersonville, IN 47130-7732 | 2014-08-11 |
| 1568887966 | Jessica Gibbs Hinkle | Physical Therapist | 101 2nd Ave Sw, Apt 2a, Carmel, IN 46032-2073 | 2014-02-22 |
| 1700210846 | Stacie Lynn Borrousch | Physical Therapist | 1494 Laurel Oak Dr, Avon, IN 46123-9480 | 2013-08-26 |
| 1720425796 | Kellie Robinson | Physical Therapist | 112 Holt Dr., Madison, IN 47250 | 2013-05-30 |
| 1720370794 | Pediatric Links,llc | Physical Therapist | 7317 W Jefferson Blvd, Fort Wayne, IN 46804-6237 | 2011-05-10 |
| 1477843894 | Megan Marie Hazelrigg | Physical Therapist | 2090 Cicero Rd, Noblesville, IN 46060-1097 | 2011-04-19 |
| 1891009981 | Krysia A Arkenau | Physical Therapist | 11050 Presbyterian Dr, Indianapolis, IN 46236-2982 | 2010-07-30 |
| Find all providers with the same taxonomy | ||||
| City | EVANSVILLE |
| Zip Code | 47710 |
Please comment or provide details below to improve the information on MRS. PHYLLIS ANN FENNEMAN.
| 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.