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

Jasmine Dantzler

Individual provider Physical Therapist · NPI 1205666161

Jasmine Dantzler is a Physical Therapist in Private Practice in Evansville, Indiana. Qualified in 2024, 2 years ago. Practices with Prorehab Inc, a 81-clinician group. Licensed in Indiana.

Years since qualifying
2
Licensed in
IN
In the registry since
2024
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Practice location Address checks out

415 Crosslake Dr Ste B
Evansville, IN 47715-8272
Phone: (812) 476-0409
Fax: (812) 476-1016
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 05015650A (IN)

Record details

NPI number1205666161
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 6, 2024
Last updated in NPPESAugust 6, 2024
Certification dateAugust 6, 2024
Mailing address1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Prorehab Inc — 81 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Evansville