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7440 N Shadeland Ave, #130, Indianapolis, IN 46250-2029 | |
| (317) 577-7333 | |
| (317) 577-7330 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 7440 N Shadeland Ave, Indianapolis, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043332851 | NPI | - | NPPES |
| 05002810A | Other | IN | INDIANA PROFESSIONAL LICENSING AGENCY |
| 200114780A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 05002810A (Indiana) | Primary |
| Provider Name | Suzanne M Foley |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1265547228 PECOS PAC ID: 5092754135 Enrollment ID: I20050428000544 |
| Provider Name | Sharon K Drehs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538148473 PECOS PAC ID: 4688613748 Enrollment ID: I20050428000611 |
| Provider Name | Amanda Nichole Crishon |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1831405422 PECOS PAC ID: 7810181211 Enrollment ID: I20101029000815 |
| Provider Name | Melissa A Stamps |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992084032 PECOS PAC ID: 2365665304 Enrollment ID: I20140521000586 |
| Provider Name | Sarah Jennifer Hoekema |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083253447 PECOS PAC ID: 7911333299 Enrollment ID: I20200204002950 |
| Provider Name | Stephanie Rose Ganley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588274252 PECOS PAC ID: 4880019892 Enrollment ID: I20200807002609 |
| Mailing Address | Practice Location Address |
|---|---|
7440 N Shadeland Ave, #130, Indianapolis, IN 46250-2029 Ph: (317) 577-7333 | 7440 N Shadeland Ave, #130, Indianapolis, IN 46250-2029 Ph: (317) 577-7333 |
Kristene Marie Corbin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5936 N Keystone Ave, Indianapolis, IN 46220 Phone: 317-257-8340 | |
Steven Saied, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9480 Priority Way West Dr, Indianapolis, IN 46240 Phone: 317-818-0570 | |
Marycharlotte Turner Bales, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 426 S Alabama St Ste 200, Indianapolis, IN 46225 Phone: 317-528-6804 Fax: 317-528-3781 | |
Lisa Smiley, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4340 W 96th St Ste 105a, Indianapolis, IN 46268 Phone: 317-660-1999 Fax: 317-660-1870 | |
Alyssa Bettag, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7701 E 21st St, Indianapolis, IN 46219 Phone: 317-329-1000 | |
Kristin Leigh Roth, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5515 W 38th St, Indianapolis, IN 46254 Phone: 317-880-0282 Fax: 317-880-0296 | |
Lisa M Oldham, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1701 Senate Blvd, Suite Ag045, Indianapolis, IN 46202 Phone: 317-962-4836 Fax: 317-962-4812 |