Individual provider Active NPI

Tushar Prakash Lothe

  • Occupational Therapist
  • Bargersville, IN
National Provider Identifier
1891332532
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31001718A Issued in IN
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Other URL bargersville

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200130002767 IN Practitioner - Occupational Therapist in Private Practice 8325209067 Reassigns benefits to 1 organization

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
Golden Physical Therapy LLCGroup PAC ID 9133555709, 3 clinicians

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

LicenseStateTypeSpecialty
31001718AINMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Physical Therapy LLC Single Specialty CurrentSince Nov 13, 2019 Accepting new patients
Golden Age Home Health LLC CurrentSince Aug 23, 2011 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.

FacilityTypeRoleSince
Center Grove Home Health Care LLCBargersville, IN, CCN 157654 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.

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.

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

Verify at the official NPI Registry.