Srinivasan K. Sankaran
Individual provider Active NPI Physical Therapist · Cloverdale, IN
NPI 1396089736 · NPPES record last updated Nov 26, 2012
Key facts
- NPI
- 1396089736
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 05003000A (IN)
- Practice address
- 34 S Main St
Cloverdale, IN 46120-8531 - Phone
- (765) 795-4260
- NPI assigned
- Nov 26, 2012
- Sex
- Male
- 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 |
|---|---|---|---|
| 05003000A | IN | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05003000A | IN | Yes |
Addresses
Primary practice location
34 S Main St
Cloverdale, IN 46120-8531
Mailing address
6012 Pine Bluff Dr
Avon, IN 46123-6842
Other providers in Cloverdale, IN
- Harlie Renee Pruitt
- Putnam County Hospital
- Angela Raisor
- Kristen Brandt Rogers
- Kennedy Ryan
- Haley M Smith
- Whitney Anne Smith
- Alexis Stout
- Kalen Elyse Sundeen
- Michelle R Thomas
All providers in Cloverdale, 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 Nov 26, 2012. 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.