Tai LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05003469A Issued in IN

Legal business name

TAI LLC

Practice address

5140 Charlestown Rd
Suit 1a
New Albany, IN 47150-9475

Phone

(812) 972-7724

Fax

(812) 572-4696

NPI assigned

Jan 10, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jerome A Johannes, PT,DPT

Title

President

Phone

(812) 972-7724

Specialties & licenses 1

Addresses

Tax ID family

Tai LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Taillc

  • Physical Therapy Clinic/Center
  • New Salisbury, IN
  • NPI 1518279967
  NPD tax ID

Locations

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389312000000",
    "number": "1548682537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 CHARLESTOWN RD",
            "address_2": "SUIT 1A",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509475",
            "telephone_number": "812-972-7724",
            "fax_number": "812-572-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 CHARLESTOWN RD",
            "address_2": "SUIT 1A",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509475",
            "telephone_number": "812-972-7724",
            "fax_number": "812-572-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-01-10",
        "status": "A",
        "authorized_official_last_name": "JOHANNES",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-972-7724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT,DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05003469A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irish Sumner, RBT
• Shabbar Mustansir Sunel, MD
• Leah Sweets, MA, CCC-SLP
• T.S.Shanks, PLLC
• Virginia Darlene Tackett, LMFTA
• Shadi Talebi, PT
• John David Taylor, M.ED.,LMHC
• TCH Enterprises LLC
• Leigh Ann Temple
• Caitlin Elizabeth Tennyson

• Physical Therapist in New Albany, IN
• Providers in New Albany, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.