Gopi Krishn Gorantla, | |
6525 E 82nd St Ste 103, Indianapolis, IN 46250-1545 | |
(317) 348-4949 | |
(317) 537-2089 |
Full Name | Gopi Krishn Gorantla |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 6525 E 82nd St Ste 103, Indianapolis, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629855424 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 05009128A (Indiana) | Primary |
Provider Name | Nv Health Enterprise Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1285417329 PECOS PAC ID: 4981058609 Enrollment ID: O20230929000734 |
Mailing Address | Practice Location Address |
---|---|
Gopi Krishn Gorantla, 1653 Nordland Dr, Carmel, IN 46032-7190 Ph: (317) 513-2886 | Gopi Krishn Gorantla, 6525 E 82nd St Ste 103, Indianapolis, IN 46250-1545 Ph: (317) 348-4949 |
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 |