NPIMap

Organization Active NPI

Theratot

  • Physical Therapist
  • New Palestine, IN
National Provider Identifier
1962677401
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05000560A Issued in IN
Legal business name
THERATOT
Practice address
3875 S Heritage CT
New Palestine, IN 46163-9108
Phone
(317) 861-8995
NPI assigned
Apr 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Authorized official

Name
Jan Woodard
Title
Owner
Phone
(317) 694-4056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 05000560A IN Primary

Addresses

Primary practice location

3875 S Heritage CT
New Palestine, IN 46163-9108

Mailing address

3875 S Heritage CT
New Palestine, IN 46163-9108
Phone (317) 861-8995

National Provider Directory

National Provider Directory
Tax ID family
Theratot2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1962677401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3875 S HERITAGE CT",
            "city": "NEW PALESTINE",
            "state": "IN",
            "postal_code": "461639108",
            "telephone_number": "317-861-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3875 S HERITAGE CT",
            "city": "NEW PALESTINE",
            "state": "IN",
            "postal_code": "461639108",
            "telephone_number": "317-861-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERATOT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "WOODARD",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-694-4056"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05000560A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Palestine, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.