International Physiotherapy Associates Professional Corporation

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

53000125A Issued in IN

Legal business name

INTERNATIONAL PHYSIOTHERAPY ASSOCIATES PROFESSIONAL CORPORATION

Practice address

3737 N Meridian St
Suite 210
Indianapolis, IN 46208-4348

Phone

(317) 672-9198

Fax

(844) 274-0371

NPI assigned

Feb 11, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Adoniah Mavura Mukona, PHYSICAL THERAPIST

Title

President & Owner

Phone

(317) 332-9552

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Loice Mukona

  • Nurse Practitioner
  • Indianapolis, IN
  • NPI 1427321033
  NPD (past)

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419984000000",
    "number": "1629492632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 RED PHISTER DR",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237172",
            "telephone_number": "317-272-1383",
            "fax_number": "317-272-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 N MERIDIAN ST",
            "address_2": "SUITE 210",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462084348",
            "telephone_number": "317-672-9198",
            "fax_number": "844-274-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL PHYSIOTHERAPY ASSOCIATES PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-11",
        "last_updated": "2014-12-31",
        "status": "A",
        "authorized_official_last_name": "MUKONA",
        "authorized_official_first_name": "ADONIAH",
        "authorized_official_middle_name": "MAVURA",
        "authorized_official_title_or_position": "PRESIDENT & OWNER",
        "authorized_official_telephone_number": "317-332-9552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IN",
            "license": "53000125A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Physical Therapy Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.