NPIMap

Organization Active NPI

Comprehensive Therapy Specialists, LLC

  • Specialist
  • Indianapolis, IN
National Provider Identifier
1205016599
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
26019885A Issued in IN
Legal business name
COMPREHENSIVE THERAPY SPECIALISTS, LLC
Practice address
12142 Pearl Bay RDG
Indianapolis, IN 46236-8980
Phone
(317) 844-0657
NPI assigned
Nov 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jodi Lynn Mann, PHARMD, BCPS, CGPNPI 1942253042
Title
Owner
Phone
(317) 833-0657

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 26019885A IN Primary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 26021115A IN

Addresses

Primary practice location

12142 Pearl Bay RDG
Indianapolis, IN 46236-8980

Mailing address

12142 Pearl Bay RDG
Indianapolis, IN 46236-8980
Phone (317) 844-0657

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1205016599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12142 PEARL BAY RDG",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462368980",
            "telephone_number": "317-844-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12142 PEARL BAY RDG",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462368980",
            "telephone_number": "317-844-0657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE THERAPY SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-833-0657",
        "authorized_official_credential": "PHARMD, BCPS, CGP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": "26019885A",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": "26021115A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.