MEDICARE: PHYSIOTHERAPY ASSOCIATES INC

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	05008871A	IN

General Provider Information

NPI Number	:	1558428482
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSIOTHERAPY ASSOCIATES INC

Provider Business Mailing Address
First Line	:	301 E NEW YORK ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46204-2116
Country	:	US
Telephone Number	:	317-951-4030
Fax Number	:	317-951-4035

Provider Business Practice Location Address
First Line	:	301 E NEW YORK ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46204-2116
Country	:	US
Telephone Number	:	317-951-4030
Fax Number	:	317-951-4035

Authorized Official
Title or Position	:	CONTRACTING
Name	:	ROB ZIGENFUS
Credential	:
Telephone Number	:	901-685-7227

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	08/07/2007

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