Healthcare Provider Details

I. General information

NPI: 1396362133
Provider Name (Legal Business Name): ASHA T SANGAH OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2020
Last Update Date: 09/06/2025
Certification Date: 09/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13500 N MERIDIAN ST
CARMEL IN
46032-1456
US

IV. Provider business mailing address

7845 ALLISONVILLE RD
INDIANAPOLIS IN
46250-2360
US

V. Phone/Fax

Practice location:
  • Phone: 317-582-7000
  • Fax:
Mailing address:
  • Phone: 626-283-4511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number31008343A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: