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Advanced Physical Therapy, LLC

Durable Medical Equipment & Medical Supplies in Indianapolis, IN. Organization (NPI-2).

NPI number1962028159
StatusActive
Last updated in NPPESJun 23, 2020

Details

NPI
1962028159
Entity type
Organization (NPI-2)
Legal business name
Advanced Physical Therapy, LLC
Organization subpart
No
Enumeration date
Jun 23, 2020
Certification date
Jun 23, 2020
Last updated
Jun 23, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes

Practice location

6920 Gatwick Dr Ste 120
Indianapolis, IN 46241-9506

Phone 317-856-1162

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Authorized official

Matt Kirk
Diretor
7087109931

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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