MEDICARE: TOPFLIGHT PHYSICAL THERAPY

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	261QP2000X	Physical Therapy Clinic/Center	05011284A	IN

General Provider Information

NPI Number	:	1447671219
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOPFLIGHT PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	14540 PRAIRIE LAKES BLVD N
Second Line	:	SUITE 103
City	:	NOBLESVILLE
State	:	IN
Zip	:	46060-4366
Country	:	US
Telephone Number	:	317-900-9691
Fax Number	:	317-912-1323

Provider Business Practice Location Address
First Line	:	14540 PRAIRIE LAKES BLVD N
Second Line	:	SUITE 103
City	:	NOBLESVILLE
State	:	IN
Zip	:	46060-4366
Country	:	US
Telephone Number	:	770-778-3526
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. MARCUS HINKLE
Credential	:	DPT
Telephone Number	:	317-900-9691

Provider Enumeration Date	:	12/21/2013
Last Update Date	:	03/24/2014

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Directions to “TOPFLIGHT PHYSICAL THERAPY ” Practice Location

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