Organization Active NPI

Eldercare Therapy Specialists LLC

  • Physical Therapist
  • Fishers, IN
National Provider Identifier
1750632006
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05010183A Issued in IN
Legal business name
ELDERCARE THERAPY SPECIALISTS LLC
Practice address
11867 Bellhaven Dr
Fishers, IN 46038-6684
Phone
(317) 219-3412
Fax
(317) 219-3889
NPI assigned
Sep 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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

Authorized official

Name
Bidur Mukherjee, PTNPI 1386904076
Title
Manager
Phone
(317) 540-0285

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 05010183A IN Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 31004910A IN

Addresses

Primary practice location

11867 Bellhaven Dr
Fishers, IN 46038-6684

Mailing address

11867 Bellhaven Dr
Fishers, IN 46038-6684

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1750632006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11867 BELLHAVEN DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460386684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11867 BELLHAVEN DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460386684",
            "telephone_number": "317-219-3412",
            "fax_number": "317-219-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERCARE THERAPY SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "MUKHERJEE",
        "authorized_official_first_name": "BIDUR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "317-540-0285",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05010183A",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31004910A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.