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

Mr. Timothy Allen Eacret

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1558728584

Mr. Timothy Allen Eacret is a Physical Therapist in Private Practice in Greenwood, Indiana. Qualified in 2022, 4 years ago. Practices with Athletico Ltd, a 2,186-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
4
Licensed in
IN
In the registry since
2016
Specialties on file
4
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Practice location Address checks out

5883 N State Road 135
Greenwood, IN 46143-5616
Phone: (317) 550-3409
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7390 W 950 N, Fairland, IN 46126-9804 — (317) 861-8017

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 05014878A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Physical Therapist Taxonomy 225100000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1558728584
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 21, 2016
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026
Mailing address2122 York Rd Ste 300, Oak Brook, IL 60523-1925

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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