Organization · NPI-2
Achieve Physical Therapy LLC
Physical Therapist · Indianapolis, IN
NPI number1134563273
StatusActive
Last updated in NPPESMay 26, 2015
Details
- NPI
- 1134563273
- Entity type
- Organization (NPI-2)
- Legal business name
- Achieve Physical Therapy LLC
- Organization subpart
- No
- Enumeration date
- Apr 19, 2013
- Last updated
- May 26, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 05004058A | IN | Yes |
| 2251S0007X | Physical Therapist, Sports | 05004050A | – | |
| 2251X0800X | Physical Therapist, Orthopedic | 05004058A | IN |
Practice location
107 E 34th StIndianapolis, IN 46205-3408
Phone 317-426-3477 · Fax 317-622-2971
Mailing address
107 E 34th StIndianapolis, IN 46205-3408
Phone 317-426-3477 · Fax 317-622-2971
Authorized official
Loreto Bayani
President
7654538855
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