Organization Active NPI

Living Well Inc

  • Physical Therapist
  • Indianapolis, IN
National Provider Identifier
1861554859
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05000996A Issued in IN
Legal business name
LIVING WELL INC
Practice address
6284 Rucker Rd
Ste N
Indianapolis, IN 46220-4851
Phone
(317) 475-1389
Fax
(317) 594-1627
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Paul Nelson George, MS LCSW LMFT
Title
President
Phone
(317) 475-1389

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 34002279A IN
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 05000996A IN Primary

Addresses

Primary practice location

6284 Rucker Rd
Ste N
Indianapolis, IN 46220-4851

Mailing address

6284 Rucker Rd
Ste N
Indianapolis, IN 46220-4851
Phone (317) 475-1389

National Provider Directory

National Provider Directory

Locations

6284 Rucker Rd
Ste N
Indianapolis, IN 46220
Phone (317) 430-0558

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1861554859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6284 RUCKER RD",
            "address_2": "STE N",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462204851",
            "telephone_number": "317-475-1389",
            "fax_number": "317-594-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6284 RUCKER RD",
            "address_2": "STE N",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462204851",
            "telephone_number": "317-475-1389",
            "fax_number": "317-594-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-475-1389",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS LCSW LMFT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34002279A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05000996A",
            "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 Sep 11, 2025; 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.