Siera L Babcock
Individual provider Active NPI Physical Therapy Assistant · Carmel, IN
NPI 1376975508 · NPPES record last updated Jul 30, 2013
Key facts
- NPI
- 1376975508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 06004462A (IN)
- Practice address
- 118 Medical Dr
Carmel, IN 46032-2923 - Phone
- (317) 573-1037
- NPI assigned
- Jul 30, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06004462A | IN | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 06004462A | IN | Yes |
Addresses
Primary practice location
118 Medical Dr
Carmel, IN 46032-2923
Mailing address
118 Medical Dr
Carmel, IN 46032-2923
Phone (317) 573-1037
Other providers in Carmel, IN
- Audrey C Avitabile
- Lidia Ayad
- Sandee Kay Ayala
- Ragia Ayoub
- Gary M Ayres
- Joshua Bachman
- Back in Motion
- Lauren G Back
- Sandra E Bacon
- Jacqueline Nicole Baginski
All providers in Carmel, IN · Physical Therapy Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.