Healthcare Provider Details

I. General information

NPI: 1013130798
Provider Name (Legal Business Name): ST. MARY REHABILITATION AND HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1230 KINGS COVE CT
INDIANAPOLIS IN
46260-1605
US

IV. Provider business mailing address

1230 KINGS COVE CT
INDIANAPOLIS IN
46260-1605
US

V. Phone/Fax

Practice location:
  • Phone: 317-413-6279
  • Fax: 317-818-0975
Mailing address:
  • Phone: 317-413-6279
  • Fax: 317-818-0975

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number StateIN

VIII. Authorized Official

Name: DR. ADEL B SOLIMAN
Title or Position: PRESIDENT
Credential: PTD
Phone: 317-818-0975