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

Jimmy Midence, PTA

Individual provider Physical Therapy Assistant · NPI 1912558081

Jimmy Midence, PTA is a Physical Therapy Assistant in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2019.

Licensed in
IN
In the registry since
2019
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

4205 Sunshine Ave
Indianapolis, IN 46228
Phone: (317) 937-1134
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 99094830A (IN)

Record details

NPI number1912558081
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedSeptember 20, 2019
Last updated in NPPESFebruary 15, 2022
Certification dateFebruary 15, 2022

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