Sally Marlene Street, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

06000212A Issued in IN

Practice address

6504 E 129TH Ave
Crown Point, IN 46307-9087

Phone

(219) 662-7654

Fax

(219) 662-2136

NPI assigned

Jan 25, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Children'S Therapy Plus, Inc.

  • Physical Therapy Clinic/Center
  • Crown Point, IN
  • NPI 1295772689
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255487294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2906 W 77TH AVE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464104518",
            "telephone_number": "219-769-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6504 E 129TH AVE",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463079087",
            "telephone_number": "219-662-7654",
            "fax_number": "219-662-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREET",
        "first_name": "SALLY",
        "middle_name": "MARLENE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06000212A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin E Strange, LSW
• Jennifer Rae Strayer, LCSW
• Kelly Strazzante, RD, PA-C
• Michael Timothy Strazzante, PA-C
• Sarah Jane Strebbing, MSW
• Michael Allan Streeter, D.O.
• Lauren Stremplewski
• Ben Strick
• Kristin Strout, LCSW
• Jerry Lee Stuffle, CRNA

• Physical Therapy Assistant in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Physical Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.