Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Degroot

Individual provider Physical Therapist · NPI 1215868021

Jack Degroot is a Physical Therapist in Private Practice in Indianapolis, Indiana. Works from 2 locations. Licensed in Alabama.

Licensed in
AL
In the registry since
2026
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1150 W 86th St
Indianapolis, IN 46260-2257
Phone: (317) 688-7600
Fax: (317) 580-0107
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1086 N Avon Ave, Avon, IN 46123-8863 — (317) 688-7600

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 05010408A (AL)

Record details

NPI number1215868021
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 28, 2026
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026
Mailing address1150 W 86th St, Indianapolis, IN 46260-2257

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2026 (0 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Indianapolis