MEDICARE: JANE M. COX PT

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	05001382	IN

General Provider Information

NPI Number	:	1295814606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANE M. COX PT

Provider Business Mailing Address
First Line	:	2860 E BANTA RD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46227-4916
Country	:	US
Telephone Number	:	317-709-8707
Fax Number	:	253-736-1712

Provider Business Practice Location Address
First Line	:	2860 E BANTA RD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46227-4916
Country	:	US
Telephone Number	:	317-709-8707
Fax Number	:	253-736-1712

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2006
Last Update Date	:	07/09/2007

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Directions to “ JANE M. COX PT” Practice Location

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