MEDICARE: THERACARE INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	224Z00000X	Occupational Therapy Assistant
2	225100000X	Physical Therapist
3	2251E1200X	Ergonomics Physical Therapist
4	2251E1300X	Clinical Electrophysiology Physical Therapist
5	2251G0304X	Geriatric Physical Therapist
6	2251H1200X	Hand Physical Therapist
7	2251P0200X	Pediatric Physical Therapist
8	2251X0800X	Orthopedic Physical Therapist
9	225X00000X	Occupational Therapist
10	225XE1200X	Ergonomics Occupational Therapist
11	225XN1300X	Neurorehabilitation Occupational Therapist
12	225XP0200X	Pediatric Occupational Therapist
13	235Z00000X	Speech-Language Pathologist
14	261Q00000X	Clinic/Center
15	261QR0400X	Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1023052339
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERACARE INC.

Provider Business Mailing Address
First Line	:	9957 ALLISONVILLE RD
Second Line	:
City	:	FISHERS
State	:	IN
Zip	:	46038-2006
Country	:	US
Telephone Number	:	317-841-7005
Fax Number	:	317-841-7029

Provider Business Practice Location Address
First Line	:	9957 ALLISONVILLE RD
Second Line	:
City	:	FISHERS
State	:	IN
Zip	:	46038-2006
Country	:	US
Telephone Number	:	317-841-7005
Fax Number	:	317-841-7029

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. TINA MARIE ROBINSON
Credential	:	SLP
Telephone Number	:	317-841-7005

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	09/17/2020

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Directions to “THERACARE INC. ” Practice Location

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