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General NPI Number Information
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NPI Number | 1427614452
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Entity Type | Organization
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Legal Business Name | INDIANA PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 05/15/2019
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 7855 S EMERSON AVE STE W
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City | INDIANAPOLIS
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State | IN
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Zip | 46237-8669
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Country | US
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Telephone | 317-889-5340
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Fax | 317-889-5711
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Provider Business Mailing Address
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Address Line | 4251 LAHMEYER RD
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City | FORT WAYNE
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State | IN
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Zip | 46815-5676
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Country | US
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Telephone | 260-432-4700
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Fax | 260-459-9262
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Authorized Official
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Title or Position | CSC
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Name | DRU BISHOP
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Credential |
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Telephone | 260-432-4700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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