Alotta Therapy,LLC
Organization Active NPI Physical Therapist · Lafayette, IN
NPI 1376813014 · NPPES record last updated Jan 11, 2012
Key facts
- NPI
- 1376813014
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- 05009075A (IN)
- Legal business name
- ALOTTA THERAPY,LLC
- Practice address
- 8900 Cobbler LN
Lafayette, IN 47905-7720 - Phone
- (765) 412-0788
- NPI assigned
- Jan 11, 2012
- Organization subpart
- No
Authorized official
- Name
- Mrs. Shannon Tawn Harris, ST
- Title
- Facility Manager
- Phone
- (765) 412-0788
Practitioners 7
-
Shannon Tawn Harris, MS, CCC-SLP
-
Vivek Atre, DPT
-
Cheyenne Ledford, PT, DPT
-
Kelsey Bower, OTA
-
Jessica Cawby, MS, CCC-SLP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120222000221 | IN | Part B Supplier - Clinic/Group Practice | 4587822556 |
Receives reassigned benefits from 3 practitioners Practice locations: Lafayette, IN |
National Provider Directory
Locations
3741 Rome Dr
#A
Lafayette, IN 47905
Phone (765) 250-3662
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 05009075A | IN | Yes |
| Occupational Therapist |
225X00000X | 31004248A | IN | |
| Speech-Language Pathologist |
235Z00000X | 22004133A | IN |
Addresses
Primary practice location
8900 Cobbler LN
Lafayette, IN 47905-7720
Mailing address
8900 Cobbler LN
Lafayette, IN 47905-7720
Phone (765) 412-0788
Other providers in Lafayette, IN
- Carly Rae Allen
- Claire Johanna Allen
- Misty Dawn Allen
- Vickie Sue Allison
- Jorge Almeida
- Tari L Alper
- Alpine Clinic, LLC
- Alpine Physicians, LLC
- Maya Lara Alshawa
- Alternative Pain Solutions, LLC
All providers in Lafayette, IN · Physical Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.