Active NPI
Living Well Inc
- Physical Therapist
- Indianapolis, IN
National Provider Identifier
1861554859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05000996A
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34002279A | IN | |
| Physical Therapist | 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 DirectoryLocations
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.