Active NPI
Tushar Prakash Lothe
- Occupational Therapist
- Bargersville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31001718A
- Practice address
- 5080 N State Road 135 Ste G
Bargersville, IN 46106-8931 - Phone
- (317) 403-9670
- Fax
- (317) 893-2675
- NPI assigned
- Dec 2, 2019
- Last updated
- Dec 2, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31001718A | IN | Primary |
Addresses
Primary practice location
5080 N State Road 135 Ste G
Bargersville, IN 46106-8931
Mailing address
3038 Aldwych CT
Greenwood, IN 46143-6942
Phone (317) 403-9670
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | bargersville |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5080 N State Rd
135 Suite G
Bargersville, IN 46106-8941
Phone (317) 893-2449
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31001718A | IN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Physical Therapy LLC | Single Specialty | Current | Accepting new patients |
| Golden Age Home Health LLC | Current | Accepting new patients |
Locations
5080 N State Road 135
Ste G
Bargersville, IN 46106
Phone (317) 403-9670
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Center Grove Home Health Care LLC | Home health agency | 5% Or Greater Direct Ownership Interest (100%) Corporate Director W-2 Managing Employee |
Aug 23, 2011 Aug 23, 2011 Aug 23, 2011 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- Bargersville, IN
- NPI 1730457698
5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Bargersville, IN
- NPI 1467099101
Single Specialty
-
- Home Health Agency
- Bargersville, IN
- NPI 1730457698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575244800000",
"number": "1891332532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3038 ALDWYCH CT",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461436942",
"telephone_number": "317-403-9670",
"fax_number": "317-893-2675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5080 N STATE ROAD 135 STE G",
"city": "BARGERSVILLE",
"state": "IN",
"postal_code": "461068931",
"telephone_number": "317-403-9670",
"fax_number": "317-893-2675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOTHE",
"first_name": "TUSHAR",
"middle_name": "PRAKASH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-12-02",
"last_updated": "2019-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31001718A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "bargersville",
"affiliation": "N",
"address_1": "5080 N State Road 135 Ste G",
"city": "Bargersville",
"state": "IN",
"country_code": "US",
"postal_code": "461068931",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bargersville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.