Organization Active NPI

Alotta Therapy,LLC

  • Physical Therapist
  • Lafayette, IN
National Provider Identifier
1376813014
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05009075A Issued in 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
Last updated
Jan 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Mrs. Shannon Tawn Harris, STNPI 1700177185
Title
Facility Manager
Phone
(765) 412-0788

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 05009075A IN Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 31004248A IN
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120222000221 IN Part B Supplier - Clinic/Group Practice 4587822556 Receives reassigned benefits from 3 practitioners
Practice locations: Lafayette, IN

National Provider Directory

National Provider Directory

Locations

3741 Rome Dr
#A
Lafayette, IN 47905
Phone (765) 250-3662

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1376813014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 COBBLER LN",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479057720",
            "telephone_number": "765-412-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 COBBLER LN",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479057720",
            "telephone_number": "765-412-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALOTTA THERAPY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "TAWN",
        "authorized_official_title_or_position": "FACILITY MANAGER",
        "authorized_official_telephone_number": "765-412-0788",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05009075A",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31004248A",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22004133A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.