Active NPI
Theracare
- Skilled Nursing Facility
- Indianapolis, IN
National Provider Identifier
1790051563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 32001792A
- Legal business name
- THERACARE
- Practice address
- 5356 Holly Springs CT
Indianapolis, IN 46254 - Phone
- (317) 757-9384
- NPI assigned
- Mar 27, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Eric Robert Bryant, COTA
- Title
- Occupational Therapy Assistant
- Phone
- (317) 757-9384
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 32001792A | IN | Primary |
Addresses
Primary practice location
5356 Holly Springs CT
Indianapolis, IN 46254
Mailing address
5356 Holly Springs CT
Indianapolis, IN 46254-4284
Phone (317) 757-9384
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapy Assistant
- Indianapolis, IN
- NPI 1982960050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332806400000",
"number": "1790051563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5356 HOLLY SPRINGS CT",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462544284",
"telephone_number": "317-757-9384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5356 HOLLY SPRINGS CT",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46254",
"telephone_number": "317-757-9384"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERACARE",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-27",
"last_updated": "2012-03-27",
"status": "A",
"authorized_official_last_name": "BRYANT",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPY ASSISTANT",
"authorized_official_telephone_number": "317-757-9384",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "COTA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IN",
"license": "32001792A",
"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 Mar 27, 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.