MEDICARE: WORK VENTURES, LLC

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

General Provider Information

NPI Number	:	1699491795
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WORK VENTURES, LLC

Provider Business Mailing Address
First Line	:	9511 ANGOLA CT STE 224
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-3190
Country	:	US
Telephone Number	:	317-210-0070
Fax Number	:

Provider Business Practice Location Address
First Line	:	9511 ANGOLA CT
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-1119
Country	:	US
Telephone Number	:	317-210-0070
Fax Number	:

Authorized Official
Title or Position	:	OWNER, PHYSICAL THERAPIST
Name	:	KELSI WORK
Credential	:	PT, DPT
Telephone Number	:	317-210-0070

Provider Enumeration Date	:	10/19/2022
Last Update Date	:	10/19/2022

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Directions to “WORK VENTURES, LLC ” Practice Location

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