Active NPI
Morris Gross, PTA
- Physical Therapy Assistant
- Indianapolis, IN
National Provider Identifier
1760636419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 06001916A
- Practice address
- 8021 Knue Rd
Suite #112
Indianapolis, IN 46250-1974 - Phone
- (317) 841-7005
- Fax
- (317) 841-7029
- NPI assigned
- Nov 7, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 06001916A | IN | Primary |
Addresses
Primary practice location
8021 Knue Rd
Suite #112
Indianapolis, IN 46250-1974
Mailing address
8021 Knue Rd
Suite #112
Indianapolis, IN 46250-1974
Phone (317) 841-7005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06001916A | IN | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theracare Inc | Current | Accepting new patients | |
| Theracare Inc. | Physical Therapy Assistant | Current | Accepting new patients |
Locations
8021 Knue Rd
Ste 112
Indianapolis, IN 46250
Phone (317) 841-7005
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
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- Osceola, IN
- NPI 1811165269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226016000000",
"number": "1760636419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8021 KNUE RD",
"address_2": "SUITE #112",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462501974",
"telephone_number": "317-841-7005",
"fax_number": "317-841-7029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8021 KNUE RD",
"address_2": "SUITE #112",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462501974",
"telephone_number": "317-841-7005",
"fax_number": "317-841-7029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSS",
"first_name": "MORRIS",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-07",
"last_updated": "2008-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IN",
"license": "06001916A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.