THOMAS A BRADY SPORTS MEDICINE CTR (NPI# 1881134468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881134468 |
| Entity Type | Organization |
| Organization Name | THOMAS A BRADY SPORTS MEDICINE CTR |
| Other Organization Name | METHODIST SPORTS MEDICINE CENTER |
| Practice Address |
19000 Grand Park Blvd Ste K Westfield IN 46074-6802 |
| Mailing Address |
201 Pennsylvania Pkwy Ste 100 Indianapolis IN 46280-1393 |
| Practice Telephone | 3178171200 |
| Practice Fax Number | 3178171220 |
| Mailing Telephone | 3178171200 |
| Mailing Fax Number | 3178171220 |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2020-03-02 |
| Authorized Official Name | MARK RITTER (PRESIDENT) |
| Authorized Official Telephone | 3178171200 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Methodist Sports Medicine Center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 E 186th St # A, Westfield, IN 460742001 | 3178171200 | 3178171220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407480239 | Thomas A Brady Sports Medicine Ctr | Chiropractor | 16289 Boden Rd Ste 2, Noblesville, IN 46060-9748 | 2020-03-02 |
| 1407251382 | Thomas A Brady Sports Medicine Ctr | Orthopaedic Surgery | 1010 S Main St, Ste 100, Tipton, IN 46072-9753 | 2014-11-04 |
| 1588215420 | Thomas A Brady Sports Medicine Ctr | Occupational Therapist | 3001 S Creasy Ln Ste 100a, Lafayette, IN 47905-5206 | 2019-09-23 |
| 1518445071 | Thomas A Brady Sports Medicine Ctr | Orthopaedic Surgery | 900 N John R Wooden Dr, West Lafayette, IN 47907-2117 | 2018-08-06 |
| 1912404435 | Thomas A Brady Sports Medicine Ctr | Orthopaedic Surgery | 639 S Walker St Ste E, Bloomington, IN 47403-2124 | 2018-04-11 |
| 1255844098 | Thomas A Brady Sports Medicine Ctr | Physical Therapist | 651 E 191st St, Westfield, IN 46074-9243 | 2017-11-15 |
| 1639445315 | Thomas A Brady Sports Medicine Ctr | Durable Medical Equipment & Medical Supplies | 1115 Ronald Reagan Pkwy, Avon, IN 46123-6910 | 2012-03-28 |
| 1245506922 | Thomas A Brady Sports Medicine Ctr | Internal Medicine | 1401 W County Line Rd, Greenwood, IN 46142-5195 | 2012-03-28 |
| 1467484212 | Thomas A Brady Sports Medicine Ctr | Chiropractor | 201 Pennsylvania Pkwy, Ste 100, Indianapolis, IN 46280-1393 | 2006-07-06 |
| Street Address |
19000 GRAND PARK BLVD STE K |
| City | WESTFIELD |
| State | IN |
| Zip Code | 46074-6802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477191088 | Jessica Lynn Kutz | Specialist/Technologist | 19000 E 191st Street, Suite K, Westfield, IN 46074 | 2019-12-13 |
| 1851805774 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 1447 South Waterleaf Dr, Westfield, IN 46074 | 2017-11-30 |
| 1760939946 | Accelerated Rehabilitation Centers, Ltd. | Physical Therapist | 956 Tournament Trail, Westfield, IN 46074 | 2016-09-06 |
| 1285188805 | Hook-superx, L.L.C. | Durable Medical Equipment & Medical Supplies | 16088 Spring Mill Station Dr, Westfield, IN 46074 | 2016-08-11 |
| 1740608157 | Kumar Mokkala | Physical Therapist | 14902 Shelborne Road, Westfield, IN 46074 | 2014-04-02 |
| 1649608886 | Carol Hooe Hughes | Counselor | 14126 Secretariat Ct, Carmel, IN 46074 | 2013-10-25 |
| 1043657166 | Krause Dental | Clinic/Center | 3247 East Sr32, Westfield, IN 46074 | 2013-05-30 |
| 1841539517 | Ruby Christina Burris | Marriage & Family Therapist | 120 Camilla Court, Suite D, Westfield, IN 46074 | 2013-01-31 |
| 1720355704 | Drew Jacobson | Physical Therapy Assistant | 16620 Lakeville Crossing, Westfield, IN 46074 | 2011-11-19 |
| 1841491271 | Glenda Janine Huffman | Physical Therapist | 614 Apollo Pky, Westfield, IN 46074 | 2007-05-31 |
| Find all providers in zip 46074 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013371277 | Orthopaedics-indianapolis, Inc | Orthopaedic Surgery | 17471 Wheeler Road, Suite 112, Westfield, IN 46074-6901 | 2016-04-13 |
| 1780926931 | Scott Adam Smith | Orthopaedic Surgery | 17600 Shamrock Blvd, Westfield, IN 46074-7002 | 2013-03-25 |
| 1427106830 | Joseph Thomas Barmakian | Orthopaedic Surgery | 523 Westfield Ave, Westfield, NJ 07090 | 2007-01-08 |
| 1538245212 | Kevin Condict | Orthopaedic Surgery | 514 State Road 32 E, Westfield, IN 46074-8767 | 2006-10-27 |
| 1356442362 | Christy Faye Kellams | Orthopaedic Surgery | 17600 Shamrock Blvd Ste 400a, Westfield, IN 46074-7002 | 2006-09-25 |
| 1083663173 | Albert B Thrower | Orthopaedic Surgery | 202 Elmer Street, Westfield, NJ 07090 | 2006-05-08 |
| 1891789731 | Daniel Alan Shaw | Orthopaedic Surgery | 541 E Broad St, Westfield, NJ 07090-2107 | 2005-09-07 |
| 1902171002 | Joseph Said | Orthopaedic Surgery | 574 Springfield Ave, Westfield, NJ 07090 | 2012-03-21 |
| 1013233949 | Peter E Pascal Md LLC | Orthopaedic Surgery | 115 W Silver St, Westfield, MA 01085-3628 | 2010-04-16 |
| 1518196286 | The Orthopaedic Hand & Upper Extremity Center, Pa | Orthopaedic Surgery | 523 Westfield Ave, Westfield, NJ 07090-3300 | 2009-07-02 |
| Find all providers in WESTFIELD | ||||
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| 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.