MR. CARL OWEN EATON (NPI# 1124224407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124224407 |
| Entity Type | Individual |
| Full Name | MR. CARL OWEN EATON |
| Credential | P.T, A.T.C. |
| Practice Address |
125 S Pennsylvania St Indianapolis IN 46204-3610 |
| Mailing Address |
2221 Colfax Ln Indianapolis IN 46260-6601 |
| Practice Telephone | 3179172942 |
| Mailing Telephone | 3176970074 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2251S0007X |
Physical Therapist Specialization: Sports |
05008689A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
36001221A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
125 S PENNSYLVANIA ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46204-3610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437140662 | Joshua David Corbeil | Physical Therapist | 125 S Pennsylvania St, Indianapolis, IN 46204-3610 | 2005-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982245593 | Melvin Jay Prince | Internal Medicine | Gennesaret Free Clinic 615 N Alabama St, Suite 136, Indianapolis, IN 46204 | 2019-10-04 |
| 1487203139 | Elizabeth Ann Wilson | Behavior Technician | 120 N East St Ste 1233, Indianapolis, IN 46204 | 2019-09-05 |
| 1225691207 | Kawthar Mohamed | Student in an Organized Health Care Education/Training Program | 120 W Michigan St # Cl630, Indianapolis, IN 46204 | 2019-04-16 |
| 1457853962 | Tracie Lynn King | Physical Therapy Assistant | 500 N Capitol Ave Unit A, Indianapolis, IN 46204 | 2018-03-01 |
| 1013436831 | Kayla Michelle Jackson | Social Worker | 1099 North Meridian Street, Suite 900, Indianapolis, IN 46204 | 2017-09-13 |
| 1912434010 | Latrice N Baxter | Counselor | 201 N. Illinois Street, 16th Floor, South Tower, Indianpolis, IN 46204 | 2017-05-19 |
| 1750820643 | Jcpl, LLC | Optometrist | 751 Massachusetts Ave, Indianapolis, IN 46204 | 2017-02-13 |
| 1922546969 | Makenzie Brinker | Specialist/Technologist | 800 N. Capital Ave, 420, Indianapolis, IN 46204 | 2017-02-10 |
| 1598118572 | Jennifer Clark | Internal Medicine | 1120 W. Michigan Street Gatch Hall Cl 630, Indianapolis, IN 46204 | 2016-07-14 |
| 1194176263 | Bradley Cox | Dentist | 451 E Market St Apt 448, Indianapolis, IN 46204 | 2016-06-29 |
| Find all providers in zip 46204 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134563273 | Achieve Physical Therapy LLC | Physical Therapist | 107 E 34th St, Indianapolis, IN 46205-3408 | 2013-04-19 |
| 1508159732 | St. Vincent Hospital and Health Care Center, Inc. | Physical Therapist | 8227 Northwest Blvd, Suite 160, Indianapolis, IN 46278-1387 | 2011-05-20 |
| 1134253990 | Erin Richard Barill | Physical Therapist | 7001 W 56th St, Indianapolis, IN 46254-9725 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073001046 | Cara Hays | Physical Therapist | 14036 Britton Park Rd, Fishers, IN 46038-4463 | 2018-04-25 |
| 1518369321 | Steven Salinas | Physical Therapist | 11881 Esty Way, Carmel, IN 46033-8129 | 2014-09-23 |
| 1528525920 | Jacob Steven Laverman | Physical Therapist | 1001 E 17th St, Bloomington, IN 47408-1590 | 2019-02-22 |
| 1255844098 | Thomas A Brady Sports Medicine Ctr | Physical Therapist | 651 E 191st St, Westfield, IN 46074-9243 | 2017-11-15 |
| 1225290745 | Unity Healthcare LLC | Physical Therapist | 307 Sagamore Pkwy W Ste 400, West Lafayette, IN 47906-1500 | 2008-06-26 |
| 1700079837 | John Joseph Doherty | Physical Therapist | 1950 45th Ave, Suite 200, Munster, IN 46321-3917 | 2007-08-22 |
| City | INDIANAPOLIS |
| Zip Code | 46204 |
Please comment or provide details below to improve the information on MR. CARL OWEN EATON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.