Organization · NPI-2
Advanced Physical Therapy LLC
Durable Medical Equipment & Medical Supplies · Indianapolis, IN
NPI number1699051839
StatusActive
Last updated in NPPESApr 30, 2024
Details
- NPI
- 1699051839
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Physical Therapy LLC
- Organization subpart
- No
- Enumeration date
- Nov 2, 2011
- Certification date
- Oct 30, 2023
- Last updated
- Apr 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | IN | Yes |
| 225100000X | Physical Therapist | – | IN | |
| 225X00000X | Occupational Therapist | – | IN |
Other names
- Ati Physical Therapy Of Indiana (Doing Business As)
Practice location
8936 South ShelbySuite A-1
Indianapolis, IN 46227-6264
Phone 317-888-3838
Mailing address
790 Remington BlvdBolingbrook, IL 60440-4909
Phone 630-296-2222
Authorized official
Wade A Meyer
Vp Chief Compliance Officer
6302962222
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