Organization Active NPI

Therapeutic Touch for Infants & Children, PC

  • Pediatric Physical Therapist
  • Indianapolis, IN
National Provider Identifier
1982607495
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
05002030A Issued in IN
Legal business name
THERAPEUTIC TOUCH FOR INFANTS & CHILDREN, PC
Practice address
12623 E 86TH St
Indianapolis, IN 46236-8548
Phone
(317) 201-3754
Fax
(317) 823-6484
NPI assigned
May 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sharon C Dietz, RPT
Title
Physical Therapist/President
Phone
(317) 201-3754

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251P0200X 05002030A IN Primary

Addresses

Primary practice location

12623 E 86TH St
Indianapolis, IN 46236-8548

Mailing address

12623 E 86TH St
Indianapolis, IN 46236-8548
Phone (317) 201-3754

Other identifiers 1

IdentifierTypeStateIssuer
000000215001OtherINANTHEM BC/BS IN NETWORK

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1117411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982607495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12623 E 86TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462368548",
            "telephone_number": "317-201-3754",
            "fax_number": "317-823-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12623 E 86TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462368548",
            "telephone_number": "317-201-3754",
            "fax_number": "317-823-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC TOUCH FOR INFANTS & CHILDREN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIETZ",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/PRESIDENT",
        "authorized_official_telephone_number": "317-201-3754",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "IN",
            "license": "05002030A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS IN NETWORK",
            "identifier": "000000215001",
            "state": "IN"
        }
    ],
    "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 Aug 22, 2020; 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.