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PURDUE SPORTS MEDICINE WL
NPI 1053712570
Physical Therapist - Orthopedic in West Lafayette, IN

Active since September 16, 2014
900 JOHN R WOODEN DRIVE, MACKEY ARENA, WEST LAFAYETTE, IN 47907(765) 494-3245(765) 494-9899 Get Directions Write a Review

NPPES record last updated: October 24, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Purdue Sports Medicine Wl NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PURDUE SPORTS MEDICINE WL (NPI 1053712570) is a healthcare organization registered as an orthopedic in West Lafayette, Indiana and active in the NPI registry since September 2014. The organization lists Joan M Vaughan, Hipaa Privacy Officer, as its authorized official.

NPPES Registry Identity

NPI1053712570
Entity TypeOrganization
Primary Taxonomy2251X0800X
Legal Business NamePURDUE SPORTS MEDICINE WL
Location Address900 JOHN R WOODEN DRIVE, MACKEY ARENAWest Lafayette, IN 47907
Mailing Address601 Stadium Mall DrWest Lafayette, IN 47907-2052
Phone(765) 494-3245
Fax(765) 494-9899
Organization SubpartNo
Authorized OfficialJoan M VaughanHipaa Privacy Officer · (765) 496-1927
Enumeration DateSeptember 16, 2014
Last NPPES UpdateOctober 24, 2014
✔ NPI 1053712570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
Also ListedInternal Medicine · Sports MedicineTaxonomy 207RS0010X
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
900 JOHN R WOODEN DRIVE, West Lafayette, IN 47907
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KARA MICHELLE KESSANS PT, DPT, ATC, CSCS
Physical Therapist
900 JOHN R WOODEN DRIVE, MACKEY ARENA
WEST LAFAYETTE, IN 47907
Tippecanoe County (765) 494-3245

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Purdue Sports Medicine Wl's NPI number?

The NPI number for Purdue Sports Medicine Wl is 1053712570. It was assigned to this organization in the NPPES registry on September 16, 2014.

Where is Purdue Sports Medicine Wl located?

Purdue Sports Medicine Wl is located at 900 John R Wooden Drive Mackey Arena, West Lafayette, IN 47907. The listed phone number is (765) 494-3245.

What is Purdue Sports Medicine Wl's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

What insurance does Purdue Sports Medicine Wl accept?

Health plans from Anthem Blue Cross and Blue Shield list Purdue Sports Medicine Wl as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Purdue Sports Medicine Wl was last updated on October 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.