Healthcare Provider Details

I. General information

NPI: 1225649858
Provider Name (Legal Business Name): ADVANTAGE THERAPY AND REHABILITATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2020
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2522 W US HIGHWAY 136
COVINGTON IN
47932-8102
US

IV. Provider business mailing address

2522 W US HIGHWAY 136
COVINGTON IN
47932-8102
US

V. Phone/Fax

Practice location:
  • Phone: 765-201-0071
  • Fax: 765-217-5013
Mailing address:
  • Phone: 765-201-0071
  • Fax: 765-217-5013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES DANIEL FOLEY
Title or Position: OWNER
Credential: PT, DPT
Phone: 765-201-0071