Theresa Marie Sy-Bugay, P.T.

Individual provider Active NPI Physical Therapist · W Lafayette, IN

NPI 1821116906 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1821116906
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
05005943A (IN)
Practice address
2717 N 475 W
W Lafayette, IN 47906-9205
Phone
(765) 583-0079
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
05005943AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Relieve Therapy Services, Inc. Physical Therapist Past
since Dec 15, 2006
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05005943A IN Yes

Addresses

Primary practice location

2717 N 475 W
W Lafayette, IN 47906-9205

Mailing address

2717 N 475 W
W Lafayette, IN 47906-9205
Phone (765) 583-0079

Other names

  • Theresa Marie Sy Professional name

Other providers in W Lafayette, IN

All providers in W Lafayette, IN · Physical Therapist in Indiana

Sources for this page

Verify at the official NPI Registry.