NPIMap

Children'S Therapy Connection, Inc.

Organization Active NPI Physical Therapist · Indianapolis, IN

NPI 1366609166 · NPPES record last updated Nov 11, 2022

Key facts

NPI
1366609166
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
Legal business name
CHILDREN'S THERAPY CONNECTION, INC.
Practice address
7209 N Shadeland Ave
Indianapolis, IN 46250-2021
Phone
(317) 288-7606
Fax
(317) 288-7607
NPI assigned
May 20, 2008
Organization subpart
No

Authorized official

Name
Mr. Jason Berty, PT, CSCS NPI 1063510303
Title
President
Phone
(317) 288-7606

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

Practitioners 156

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

View all 156

National Provider Directory

Locations

7478 Shadeland Station Way
Indianapolis, IN 46256
Phone (317) 288-7606

7209 N Shadeland Ave
Indianapolis, IN 46250
Phone (317) 288-2760

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X SINGLE SPECIALTY GROUP		 225100000X Yes
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

7209 N Shadeland Ave
Indianapolis, IN 46250-2021

Mailing address

7209 N Shadeland Ave
Indianapolis, IN 46250-2021
Phone (317) 288-7606

Other identifiers

IdentifierTypeStateIssuer
200871500AMedicaidIN

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address amalexander@childrenstherapyconnection.com Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 11, 2022.

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668124800000",
    "number": "1366609166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7209 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502021",
            "telephone_number": "317-288-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7209 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502021",
            "telephone_number": "317-288-7606",
            "fax_number": "317-288-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S THERAPY CONNECTION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A",
        "authorized_official_last_name": "BERTY",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-288-7606",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, CSCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200871500A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amalexander@childrenstherapyconnection.com",
            "affiliation": "N",
            "endpointDescription": "Office Manager Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7209 N Shadeland Ave",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462502021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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Sources for this page

Verify at the official NPI Registry.