Healthcare Provider Details

I. General information

NPI: 1588440911
Provider Name (Legal Business Name): ZIP PEDIATRIC THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2023
Last Update Date: 09/01/2023
Certification Date: 09/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4008 NORTHSIDE DR STE 2
NEW ALBANY IN
47150-8305
US

IV. Provider business mailing address

517 HOFFMAN DR
NEW ALBANY IN
47150-4696
US

V. Phone/Fax

Practice location:
  • Phone: 502-777-8284
  • Fax: 502-775-1257
Mailing address:
  • Phone: 502-438-3814
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: NATALIE KAY GOODRICH
Title or Position: PHYSICAL THERAPIST, OWNER
Credential: PT
Phone: 502-438-3814