MEDICARE: HTS OUTPATIENT THERAPY SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center	05007586A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801891890
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HTS OUTPATIENT THERAPY SERVICES, LLC

Provider Business Mailing Address
First Line	:	1500 AMERICAN WAY STE 110
Second Line	:
City	:	GREENWOOD
State	:	IN
Zip	:	46143-6478
Country	:	US
Telephone Number	:	317-886-5010
Fax Number	:	317-886-5025

Provider Business Practice Location Address
First Line	:	230 WELCOME WAY BLVD W
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46214-3085
Country	:	US
Telephone Number	:	317-697-8345
Fax Number	:	317-534-3019

Authorized Official
Title or Position	:	LLC MEMBER
Name	:	MR. BARRY CHATHAM
Credential	:
Telephone Number	:	317-886-5010

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	10/28/2022

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