Avon Physical Medicine Inc

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

Legal business name

AVON PHYSICAL MEDICINE INC

Doing business as

Health1st

Practice address

8258 Rockville Rd
Indianapolis, IN 46214

Phone

(317) 429-5400

Fax

(317) 429-5401

NPI assigned

Mar 17, 2011

Organization subpart

No

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

Authorized official

Name

Terry J Tolle

Title

Owner/President

Phone

(317) 683-1971

Specialties & licenses 2

Addresses

Other names 1

• Health1st Doing business as

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1821397779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 SADLIER CIRCLE E DRIVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46239",
            "telephone_number": "317-683-1972",
            "fax_number": "317-683-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8258 ROCKVILLE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46214",
            "telephone_number": "317-429-5400",
            "fax_number": "317-429-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVON PHYSICAL MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-17",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "TOLLE",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "317-683-1971"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health1st",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jack Antonio Aviles Aguilar
• Eduardo Alfredo Aviles, MD
• Tatiana Aviles
• Isabel K Avilez
• Oscar Avilez
• Avon Trust Care, Inc.
• Avondale Meadows Academy Inc.
• Avondale Meadows Middle School
• Haritha Avula, MBBS
• Dana Ahmed Awad

• Neuromusculoskeletal Medicine & OMM Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.