Anew Therapy & Wellness LLC
Organization Active NPI Rehabilitation Clinic/Center · Lafayette, IN
NPI 1992567481 · NPPES record last updated Jan 29, 2024
Key facts
- NPI
- 1992567481
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Clinic/Center 261QR0400X
- Legal business name
- ANEW THERAPY & WELLNESS LLC
- Practice address
- 741 Park East Blvd
Lafayette, IN 47905-0797 - Phone
- (765) 446-3540
- Fax
- (317) 739-4115
- NPI assigned
- Jan 29, 2024
- Organization subpart
- No
Authorized official
- Name
- Jean F Brooks
- Title
- Coo
- Phone
- (317) 788-2500
Other NPIs on the same Medicare enrollment 6
Corporate family (same tax ID) 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220418000863 | IN | Part B Supplier - Clinic/Group Practice | 8123415312 |
Receives reassigned benefits from 52 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Brownsburg, IN; Fishers, IN; Fort Wayne, IN; Indianapolis, IN; Lafayette, IN; Terre Haute, IN |
National Provider Directory
- Tax ID family
- Anew Therapy Wellness LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | |||
| Occupational Therapist |
225X00000X | |||
| Speech-Language Pathologist |
235Z00000X | |||
| Rehabilitation Clinic/Center | 261QR0400X | Yes |
Addresses
Primary practice location
741 Park East Blvd
Lafayette, IN 47905-0797
Mailing address
6900 Gray Rd
Indianapolis, IN 46237-3209
Phone (812) 371-7680
Other names
- CORE Therapy and Wellness
Other providers in Lafayette, IN
- Spencer James Anderson II
- Teri Anne Anderson
- Allison Laree Andrews
- Taylor Andrews
- Anesthesiology Associates, PC
- Asiya Ansari
- Peter Robert Ansorge
- A Sue Anthony
- Ara Joyce Apgar
- Debora Apple
All providers in Lafayette, IN · Rehabilitation Clinic/Center in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.