INDIANAPOLIS PHYSICAL THERAPY AND SPORTS MEDICINE INC (NPI# 1316942394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316942394 |
| Entity Type | Organization |
| Organization Name | INDIANAPOLIS PHYSICAL THERAPY AND SPORTS MEDICINE INC |
| Practice Address |
3830 Shore Dr Indianapolis IN 46254-5657 |
| Mailing Address |
4714 Gettysburg Rd Legal Department Mechanicsburg PA 17055-4325 |
| Practice Telephone | 3172989746 |
| Practice Fax Number | 3173564586 |
| Mailing Telephone | 7179721100 |
| Mailing Fax Number | 7179759981 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2010-08-31 |
| Authorized Official Name | MR. MICHAEL E. TARVIN (VICE PRESIDENT) |
| Authorized Official Telephone | 7179721100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
3830 SHORE DR |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46254-5657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013427434 | Jason Moffitt | Specialist/Technologist | 3830 Shore Dr, Indianapolis, IN 46254-5657 | 2017-10-11 |
| 1356716153 | Andrew Catlin | Specialist/Technologist | 3830 Shore Dr, Indianapolis, IN 46254-5657 | 2015-12-04 |
| 1326275371 | Matthew T Freije | Physical Therapist | 3830 Shore Dr, Ste A, Indianapolis, IN 46254-5657 | 2009-06-17 |
| 1467660514 | William Martin Beck II | Physical Therapist | 3830 Shore Dr, Suite A, Indianapolis, IN 46254-5657 | 2007-05-21 |
| 1255395356 | Megan O'connor | Physical Therapist | 3830 Shore Dr, Suite A, Indianapolis, IN 46254-5657 | 2006-04-14 |
| 1841299724 | Indianapolis Regional Pet Scan LLC | Radiology | 3830 Shore Dr, Suite B, Indianapolis, IN 46254-5657 | 2005-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427673052 | Sanders Empowerment Services LLC | Social Worker | 5026 Clarkson Drive, Indianapolis, IN 46254 | 2020-06-09 |
| 1316587660 | Yulisa Carrera-ochoa | Behavior Technician | 6925 Parkdale Place, Indianapolis, IN 46254 | 2020-01-14 |
| 1396230140 | Emeri Taivalkoski | Registered Nurse | Eskenazi Health West 38th Street, 5515 38th St, Indianapolis, IN 46254 | 2018-06-25 |
| 1811499759 | Sara Peterson | Speech-Language Pathologist | 4102 Shore Drive, Indianapolis, IN 46254 | 2018-03-07 |
| 1427560002 | Swan Garden Home Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4906 Quail Ridge Ln, Indianapolis, IN 46254 | 2017-11-03 |
| 1477083475 | Sherry Mason | Counselor | 5959 Staffordshire Cir, Indianapolis, IN 46254 | 2017-06-13 |
| 1790111680 | The Health and Hospital Corporation of Marion County | Pharmacy | 5515 W 38th St Ste 1200, Indianapolis, IN 46254 | 2013-09-24 |
| 1790051563 | Theracare | Skilled Nursing Facility | 5356 Holly Springs Ct, Indianapolis, IN 46254 | 2012-03-27 |
| 1750659827 | Apollon | Counselor | 5362 Deer Creek Drive, Indianapolis, IN 46254 | 2011-12-05 |
| 1235413253 | Irene Williams | Pharmacist | 6269 W. 38th St, Indianapolis, IN 46254 | 2011-10-10 |
| Find all providers in zip 46254 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893239 | Armstrong Physiotherapy LLC | Clinic/Center | 609 E 29th St Rm 103, Indianapolis, IN 46205-4160 | 2020-08-25 |
| 1386030898 | Restart Performance | Clinic/Center | 500 N Meridian St, 10b, Indianapolis, IN 46204-1213 | 2015-04-10 |
| 1134534134 | Primus Health | Clinic/Center | 1550 W. 86th St., Indianapolis, IN 46260-2317 | 2014-06-27 |
| 1467775742 | Racovi Therapy Services, LLC | Clinic/Center | 8146 Birchfield Dr, Indianapolis, IN 46268-2895 | 2010-03-01 |
| 1699932913 | Aims Contract Therapies | Clinic/Center | 5530 Noble Dr, Indianapolis, IN 46234-7721 | 2008-05-22 |
| 1982881868 | Downtown Physical Therapy, LLC | Clinic/Center | 251 N Illinois St, Suite 190, Indianapolis, IN 46204-1947 | 2008-01-23 |
| 1154513695 | Excellence In Rehabilitation Inc | Clinic/Center | 9449 Priority Way West Dr, Suite 118, Indianapolis, IN 46240-6425 | 2007-08-17 |
| 1558484865 | Physiotherapy Associates Inc | Clinic/Center | 6855 Shore Ter, Ste 100, Indianapolis, IN 46254-4662 | 2007-04-10 |
| 1811022114 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 6920 Gatwick Drive, Suite 100, Indianapolis, IN 46241 | 2007-02-23 |
| 1760526354 | Arc Therapy Services LLC | Clinic/Center | 5354 W 62nd St, Indianapolis, IN 46268-4491 | 2007-02-16 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46254 |
Please comment or provide details below to improve the information on INDIANAPOLIS PHYSICAL THERAPY AND SPORTS MEDICINE INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.