Glenwillow Physical Therapy in Indianapolis - Pediatrics
Glenwillow Physical Therapy - NPI 1871555292
Glenwillow Physical Therapy is a Pediatrics in Indianapolis, Indiana. Glenwillow Physical Therapy practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Glenwillow Physical Therapy is 1871555292. The last update date is 2020-08-22.
Glenwillow Physical Therapy's current location address is 12720 Bent Oak Ct, Indianapolis, Indiana. You can contact this provider via phone number 3173459687 and fax number 3178238645. The mailing address for Glenwillow Physical Therapy is 12720 Bent Oak Ct, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Glenwillow Physical Therapy |
|---|---|
| Address | 12720 Bent Oak Ct, Indianapolis, Indiana |
| Phone Number | 3173459687 |
| Fax Number | 3178238645 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Watkins E Beth |
| Telephone Number | 3173459687 |
NPI Number Detail
| NPI Number | 1871555292 |
|---|---|
| Provider Enumeration Date | 2006-04-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 12720 Bent Oak Ct |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462367380 |
| Phone Number | 3173459687 |
| Fax Number | 3178238645 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 05006252A |
|
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 377434 | IN | ANTHEM BCBS |
Post Comment/ Review Below
What is the Glenwillow Physical Therapy's 1871555292?
The Glenwillow Physical Therapy's NPI (National Provider Identifier) Number is 1871555292. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Glenwillow Physical Therapy?
The Glenwillow Physical Therapy is situated at 12720 Bent Oak Ct, in the city of Indianapolis, state of IN, with the zip code 462367380.
What is Glenwillow Physical Therapy's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Glenwillow Physical Therapy's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 2251P0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1871555292 to Glenwillow Physical Therapy?
The Glenwillow Physical Therapy received its 1871555292 assignment from the Centers for Medicare & Medicaid Services on 2006-04-03.
As of what date were the details pertaining to Glenwillow Physical Therapy last refreshed?
The information related to the Glenwillow Physical Therapy, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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