Theratot
Physical Therapist in New Palestine, IN. Organization (NPI-2).
NPI number1962677401
StatusActive
Last updated in NPPESApr 25, 2008
Details
- NPI
- 1962677401
- Entity type
- Organization (NPI-2)
- Legal business name
- Theratot
- Organization subpart
- No
- Enumeration date
- Apr 25, 2008
- Last updated
- Apr 25, 2008
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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 05000560a | IN | Yes |
Practice location
3875 S Heritage CtNew Palestine, IN 46163-9108
Phone 317-861-8995
Mailing address
3875 S Heritage CtNew Palestine, IN 46163-9108
Phone 317-861-8995
Authorized official
Jan Woodard
Owner
3176944056
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