NPIMap

Indiana Total Therapy, Inc

Organization Active NPI Durable Medical Equipment & Medical Supplies · Blairsville, PA

NPI 1154554095 · NPPES record last updated Aug 6, 2019

Key facts

NPI
1154554095
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
INDIANA TOTAL THERAPY, INC
Practice address
25 Colony Blvd
Blairsville, PA 15717
Phone
(724) 459-1770
Fax
(724) 459-1780
NPI assigned
Aug 26, 2009
Organization subpart
No

Authorized official

Name
Dennis A Schultz, PT NPI 1720049778
Title
Director of Rehab Therapy
Phone
(724) 349-2276

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Indiana Total Therapy, Inc
25 Colony Blvd, Blairsville, PA 15717-7971 · (724) 459-1770		 Commodes, Urinals, Bedpans|Neuromuscular Elect Stimulators (NMES)/Supplies|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Walkers|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf Accepts assignment
Participating since Apr 1, 2009

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100930070241 PA DME Supplier - Independently-Practicing Physical Therapist
DME Supplier - Independently-Practicing Occupational Therapist
DME Supplier - Orthotic Personnel		 1759438856 Practice locations: Blairsville, PA

National Provider Directory

Tax ID family
Indiana Total Therapy Inc (4 organizations share this tax ID)

Locations

25 Colony Blvd
Blairsville, PA 15717
Phone (724) 388-3814

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 225100000X
Occupational Therapist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 225X00000X
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

25 Colony Blvd
Blairsville, PA 15717

Mailing address

25 Colony Blvd
Blairsville, PA 15717
Phone (724) 459-1770

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 6, 2019.

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565049600000",
    "number": "1154554095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 COLONY BLVD",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "15717",
            "telephone_number": "724-459-1770",
            "fax_number": "724-459-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 COLONY BLVD",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "15717",
            "telephone_number": "724-459-1770",
            "fax_number": "724-459-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA TOTAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2019-08-06",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF REHAB THERAPY",
        "authorized_official_telephone_number": "724-349-2276",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blairsville, PA

All providers in Blairsville, PA · Durable Medical Equipment & Medical Supplies in Pennsylvania

Sources for this page

Verify at the official NPI Registry.