Healthcare Provider Details

I. General information

NPI: 1013125681
Provider Name (Legal Business Name): PHYSIOTHERAPY ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 01/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7238 WESTERN SELECT DR
INDIANAPOLIS IN
46219-1766
US

IV. Provider business mailing address

665 PHILADELPHIA ST
INDIANA PA
15701-3941
US

V. Phone/Fax

Practice location:
  • Phone: 317-322-3006
  • Fax: 317-322-3010
Mailing address:
  • Phone: 724-465-3496
  • Fax: 215-413-4682

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DENNIS FITZPATRICK
Title or Position: CFO
Credential:
Phone: 610-644-7824