| Rehabilitation Associates Of Indiana | |
|
6330 E 75th Street Suite 110 Indianapolis IN 46250-2717 | |
| (317) 588-7130 | |
| (317) 588-7150 |
| Full Name | Rehabilitation Associates Of Indiana |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 6330 E 75th Street, Indianapolis, Indiana |
| Authorized Official Name and Position | Denise Kaye Fischer (ADMINISTRATOR) |
| Authorized Official Contact | 3178131355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rehabilitation Associates Of Indiana 6330 E 75th Street Suite 110 Indianapolis IN 46250-2717 Ph: (317) 588-7130 | Rehabilitation Associates Of Indiana 6330 E 75th Street Suite 110 Indianapolis IN 46250-2717 Ph: (317) 588-7130 |
| NPI Number | 1316929128 |
|---|---|
| Provider Enumeration Date | 11/17/2005 |
| Last Update Date | 10/11/2023 |
| Medicare PECOS PAC ID | 1557256740 |
|---|---|
| Medicare Enrollment ID | O20040217000631 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316929128 | NPI | - | NPPES |
| 100119030A | Medicaid | IN | |
| 300081343 | Medicaid | IN |
| Provider Name | Earl J Craig |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1912989716 PECOS PAC ID: 2961397153 Enrollment ID: I20040217000821 |
| Provider Name | Eric D Aitken |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1083731145 PECOS PAC ID: 1052418167 Enrollment ID: I20070524000654 |
| Provider Name | Steven H Neucks |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1871575431 PECOS PAC ID: 2466346309 Enrollment ID: I20071024000162 |
| Provider Name | Tammy L Christenberry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336121136 PECOS PAC ID: 0345380283 Enrollment ID: I20091228000212 |
| Provider Name | Shiva P Gangadhar |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1043585946 PECOS PAC ID: 8224278965 Enrollment ID: I20150709001142 |
| Provider Name | Grenville R Fernandes |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1891157046 PECOS PAC ID: 6204127863 Enrollment ID: I20200619000310 |
| Provider Name | John C Gibbons |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1902398845 PECOS PAC ID: 3577943125 Enrollment ID: I20220629001893 |
| Provider Name | Scott P Harrison |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1194250886 PECOS PAC ID: 7810264215 Enrollment ID: I20220811001604 |
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