Andrea Halloran, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

06003016A Issued in IN

Practice address

405 Rio Vista LN
Rising Sun, IN 47040-9497

Phone

(812) 438-2219

NPI assigned

Apr 27, 2010

Last updated

Apr 27, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272326400000",
    "number": "1457678781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 RIO VISTA LN",
            "city": "RISING SUN",
            "state": "IN",
            "postal_code": "470409497",
            "telephone_number": "812-438-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 RIO VISTA LN",
            "city": "RISING SUN",
            "state": "IN",
            "postal_code": "470409497",
            "telephone_number": "812-438-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLORAN",
        "first_name": "ANDREA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-27",
        "last_updated": "2010-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06003016A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Burnham Woods Counseling North Inc
• Andrew D Clark, DPT
• Suzanne Marie Craig, APRN
• Jamie Lynn Elliott, P.T.A.
• Melissa Ann Hall, DPT
• Healthcare Centers of Indiana, LLC (the Waters of Rising Sun)
• Nanette Yvonne Iceberg, COTA
• Laura Jones
• William Joseph Lewis, M.A., CCC-SLP
• Major Hospital (The Waters of Rising Sun)

• Physical Therapy Assistant in Rising Sun, IN
• Providers in Rising Sun, IN by specialty
• Physical Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.