Therapeutic Innovations Inc is a
Physical Therapist based in Brookston, Indiana. Therapeutic Innovations Inc is licensed to practice in Indiana (license number 05000581A) and their current practice location is
111 W Third St, Brookston, Indiana. It can be reached at their office (for appointments etc.) via phone at
(765) 563-6868.
NPI number for Therapeutic Innovations Inc is 1023064805 and their current mailing address is 111 W Third St, Po Box 404, Brookston, Indiana. Therapeutic Innovations Inc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1023064805.
Healthcare Provider's Profile
| Full Name | Therapeutic Innovations Inc |
|---|
| Type | Facility |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 111 W Third St, Brookston, Indiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1023064805
- Provider Enumeration Date: 05/25/2006
- Last Update Date: 06/06/2008
Medical Identifiers
Medical identifiers for Therapeutic Innovations Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023064805 | NPI | - | NPPES |
| 100262780A | Medicaid | IN | |
| 200326830 | Medicaid | IN | |
| 000000508874 | Other | IN | ANTHEM BLUE CROSS BLUE SHIELD |
| 200715320 | Other | IN | EI GROUP NUMBER |
| 000000281243 | Other | IN | ANTHEM BLUE CROSS BLUE SHIELD |
| 000000511018 | Other | IN | ANTHEM BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 05000581A (Indiana) | Primary |
| 225X00000X | Occupational Therapist | 31000116A (Indiana) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 69000280A (Indiana) | Secondary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Therapeutic Innovations Inc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Therapeutic Innovations Inc
111 W Third St, Po Box 404,
Brookston, IN 47623-0404
Ph: (765) 563-6868 | Therapeutic Innovations Inc
111 W Third St,
Brookston, IN 47623-0404
Ph: (765) 563-6868 |
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