NPIMap

Organization Active NPI

Little Britches Physical Therapy, Inc

  • Early Intervention Provider Agency
  • Muncie, IN
National Provider Identifier
1538339296
Registry record updated Mar 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
05002337A Issued in IN
Legal business name
LITTLE BRITCHES PHYSICAL THERAPY, INC
Practice address
4210 W Castleton CT
Muncie, IN 47304-2410
Phone
(765) 744-8719
Fax
(765) 254-9000
NPI assigned
Mar 8, 2008
Last updated
Mar 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2008

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

Authorized official

Name
Carole ClohessyNPI 1881773141
Title
President/ Physical Therapist
Phone
(765) 744-8719

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 05002337A IN Primary

Addresses

Primary practice location

4210 W Castleton CT
Muncie, IN 47304-2410

Mailing address

4210 W Castleton CT
Muncie, IN 47304-2410
Phone (765) 744-8719

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1204934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204934400000",
    "number": "1538339296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 W CASTLETON CT",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473042410",
            "telephone_number": "765-744-8719",
            "fax_number": "765-254-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 W CASTLETON CT",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473042410",
            "telephone_number": "765-744-8719",
            "fax_number": "765-254-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE BRITCHES PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-08",
        "last_updated": "2008-03-08",
        "status": "A",
        "authorized_official_last_name": "CLOHESSY",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_title_or_position": "PRESIDENT/ PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "765-744-8719"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IN",
            "license": "05002337A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2008; 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.