Kelly Brown, OTR | |
11700 N Meridian St, Carmel, IN 46032-4656 | |
(317) 688-2000 | |
Not Available |
Full Name | Kelly Brown |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 11700 N Meridian St, Carmel, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770719262 | NPI | - | NPPES |
200948890 | Medicaid | IN | |
000000624199 | Other | IN | ANTHEM PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 99037676A (Indiana) | Secondary |
225X00000X | Occupational Therapist | 31004812A (Indiana) | Primary |
Provider Name | Advanced Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1316940505 PECOS PAC ID: 6002959525 Enrollment ID: O20111006000030 |
Mailing Address | Practice Location Address |
---|---|
Kelly Brown, OTR 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Kelly Brown, OTR 11700 N Meridian St, Carmel, IN 46032-4656 Ph: (317) 688-2000 |
James Krashin, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 118 Medical Dr, Carmel, IN 46032 Phone: 317-573-1037 Fax: 866-785-4924 | |
Tanya Malik, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 990 Foxfire Cir, Carmel, IN 46032 Phone: 317-332-3069 | |
Rachel Nagle, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 14194 Stacey St, Carmel, IN 46033 Phone: 317-753-6962 | |
Alicia T Dickens, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 118 Medical Dr, Carmel, IN 46032 Phone: 317-573-1037 | |
Alison Tharp, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 166 W Carmel Dr, Carmel, IN 46032 Phone: 317-570-9205 | |
Alexandria Kessens, OTD, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9919 Towne Rd, Carmel, IN 46032 Phone: 317-872-4166 Fax: 317-872-3234 | |
Mrs. Shirley Duoos Altstadt, O.T.R. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 37 Thornhurst Dr, Carmel, IN 46032 Phone: 317-846-2464 Fax: 317-846-2464 |